NPI: 1922181270 · OMAHA, NE 68137 · Optician · NPI assigned 10/23/2006
| Authorized Official | EPPERSON, LINDA (NPI COORDINATOR) |
| NPI Enumeration Date | 10/23/2006 |
Other providers sharing the same authorized official: EPPERSON, LINDA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES EAST, LP | COLUMBUS | OH | $361K |
| WAL-MART STOREES EAST, LP | WADSWORTH | OH | $339K |
| WAL-MART STORES EAST, LP | LEWIS CENTER | OH | $276K |
| WAL-MART STORES EAST, LP | OAKLAND | MD | $161K |
| WAL-MART STORES EAST, LP | SALEM | OH | $107K |
| WAL-MART STORES EAST, LP | LIMA | OH | $8K |
| WAL-MART STORES EAST, LP | BUCKHANNON | WV | $7K |
| WAL-MART STORES EAST, LP | PRINCETON | WV | $1K |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 912 | $18K |
| 2019 | 796 | $15K |
| 2020 | 274 | $5K |
| 2021 | 733 | $14K |
| 2022 | 736 | $15K |
| 2023 | 200 | $4K |
| 2024 | 65 | $927.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 1,872 | 1,839 | $33K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 1,205 | 1,183 | $26K |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 323 | 312 | $6K |
| 92002 | 96 | 89 | $4K | |
| 92015 | Determination of refractive state | 183 | 166 | $3K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 13 | 13 | $423.00 |
| V2104 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens | 24 | 24 | $384.00 |