Individual provider Active NPI

Seth Laster, OD

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1174184873
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2797 Issued in AR
Practice address
8500 S 36TH Ter
Fort Smith, AR 72908-8880
Phone
(479) 242-2020
Fax
(479) 242-1919
NPI assigned
Jun 24, 2019
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2797 AR Primary

Addresses

Primary practice location

8500 S 36TH Ter
Fort Smith, AR 72908-8880

Mailing address

8500 S 36TH Ter
Fort Smith, AR 72908-8880
Phone (479) 242-2020

Other practice location 1

2 Riviera Dr
Booneville, AR 72927-5312
Phone (479) 675-3451

Other identifiers 2

IdentifierTypeStateIssuer
200850190AMedicaidOK
234651722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190723003808 AR Practitioner - Optometry 9739415175 Reassigns benefits to 1 organization
I20200317000253 OK Practitioner - Optometry 9739415175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. Shane F Laster PAGroup PAC ID 9234499120, 5 clinicians

Practice addresses (Care Compare)

1104 Dewey Ave
Poteau, OK 74953-4412
Phone (918) 649-0524

8500 S 36TH Ter
Fort Smith, AR 72908-8880
Phone (479) 242-2020

Merit-based Incentive Payment System (MIPS)

Final score
52.05 of 100Reported as group
Quality
54.11
Improvement activities
20

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery96

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2797ARMDOptometrist
3027OKMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Shane F. Laster P.a. Optometrist CurrentSince Jun 24, 2019 Accepting new patients

Locations

2 Riviera Dr
Booneville, AR 72927
Phone (479) 675-3451

386 W 7th St
Ste B
Booneville, AR 72927
Phone (479) 675-3451

8500 S 36th Ter
Fort Smith, AR 72908
Phone (479) 242-2020

9001 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 649-7018

1435 W Center St
Ste A
Greenwood, AR 72936
Phone (479) 888-1515

1104 Dewey Ave
Poteau, OK 74953
Phone (918) 649-0524

307 E Ray Fine Blvd
Roland, OK 74954
Phone (479) 242-2020

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1174184873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8500 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088880",
            "telephone_number": "479-242-2020",
            "fax_number": "479-242-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8500 S 36TH TER",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729088880",
            "telephone_number": "479-242-2020",
            "fax_number": "479-242-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Riviera Dr",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "AR",
            "postal_code": "729275312",
            "country_code": "US",
            "telephone_number": "479-675-3451",
            "fax_number": "479-242-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LASTER",
        "first_name": "SETH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-24",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200850190A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "234651722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.