NPI: 1922292432 · LOCKPORT, IL 60441 · Eyewear Supplier · NPI assigned 08/29/2007
Authorized official SUTTON, SABRINA controls 13+ related entities in our dataset. Read more
| Authorized Official | SUTTON, SABRINA (NPI ASSOCIATE) |
| NPI Enumeration Date | 08/29/2007 |
Other providers sharing the same authorized official: SUTTON, SABRINA
| Provider | City | State | Total Paid |
|---|---|---|---|
| WAL-MART STORES, INC. | KING OF PRUSSIA | PA | $5.74M |
| WAL-MART STORES, INC. | OMAHA | NE | $207K |
| WAL-MART STORES EAST, LP | CINCINNATI(EVENDALE) | OH | $176K |
| WAL-MART STORES EAST, LP | NEW BOSTON | OH | $149K |
| SAM'S CLUB OPTICAL | DEPTFORD | NJ | $54K |
| WAL-MART STORES, INC. | OSWEGO | IL | $43K |
| WAL-MART STORES INC. | GALESBURG | IL | $33K |
| WAL-MART STORES EAST, LP | SHREVEPORT | LA | $28K |
| WAL-MART STORES EAST, LP | WAVELAND | MS | $22K |
| WAL-MART STORES, INC. | LINCOLN | NE | $9K |
| WAL-MART STORES, INC. | RUIDOSO DOWNS | NM | $5K |
| WAL-MART STORES, INC. | RANTOUL | IL | $971.00 |
| WAL-MART STORES EAST, LP | BREAUX BRIDGE | LA | $785.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 39 | $2K |
| 2022 | 28 | $705.00 |
| 2023 | 520 | $13K |
| 2024 | 329 | $10K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2020 | Frames, purchases | 582 | 581 | $18K |
| V2103 | Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens | 174 | 174 | $4K |
| V2784 | Lens, polycarbonate or equal, any index, per lens | 97 | 97 | $1K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 25 | 25 | $1K |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 14 | 14 | $630.00 |
| V2100 | Sphere, single vision, plano to plus or minus 4.00, per lens | 24 | 24 | $459.50 |