WAL-MART STORES EAST, LP
NPI: 1932524295
· OLD BRIDGE, NJ 08857
· Optician
· NPI assigned 02/24/2014
Provider Details
| Authorized Official | LEVINE, LAURA (DIR HEALTHCARE CONTRACTING & ENROLL) |
| Parent Organization | WAL-MART STORES, INC |
| NPI Enumeration Date | 02/24/2014 |
Related Entities
Other providers sharing the same authorized official: LEVINE, LAURA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
43 |
$691.00 |
| 2022 |
51 |
$555.00 |
| 2023 |
39 |
$432.00 |
| 2024 |
62 |
$721.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
169 |
168 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
14 |
$284.00 |
| V2025 |
Deluxe frame |
12 |
12 |
$0.00 |