WAL-MART STORES TEXAS, LLC
NPI: 1952765703
· PRINCETON, TX 75407
· Optician
· NPI assigned 04/07/2016
Provider Details
| Authorized Official | FARMER, SHANNON (ENROLLMENT SPECIALIST) |
| Parent Organization | WAL-MART STORES, INC. |
| NPI Enumeration Date | 04/07/2016 |
Related Entities
Other providers sharing the same authorized official: FARMER, SHANNON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
168 |
$3K |
| 2021 |
872 |
$15K |
| 2022 |
741 |
$12K |
| 2023 |
656 |
$11K |
| 2024 |
669 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,716 |
1,690 |
$31K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,153 |
1,133 |
$20K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
53 |
53 |
$768.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
28 |
$411.00 |
| V2750 |
Anti-reflective coating, per lens |
144 |
143 |
$285.00 |
| V2799 |
Vision item or service, miscellaneous |
12 |
12 |
$0.00 |