Active NPI
Seth Laster, OD
- Optometrist
- Fort Smith, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2797
- 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, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200850190A | Medicaid | OK | |
| 234651722 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 54.11
- Improvement activities
- 20
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 96 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2797 | AR | MD | Optometrist |
| 3027 | OK | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Shane F. Laster P.a. | Optometrist | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.