WAL-MART STORES TEXAS, LLC
NPI: 1972843183
· HELOTES, TX 78023
· Optician
· NPI assigned 02/25/2013
Provider Details
| Authorized Official | POWERS, AMY (SPECIALIST, PLAN ENROLLMENT) |
| Parent Organization | WAL-MART STORES, INC. |
| NPI Enumeration Date | 02/25/2013 |
Related Entities
Other providers sharing the same authorized official: POWERS, AMY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
26 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2025 |
Deluxe frame |
14 |
14 |
$897.68 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$197.63 |