Individual provider Active NPI

Bill C Keating, OD

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1205935111
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2463 Issued in AR
Practice address
8301 Rogers Avenue
Fort Smith, AR 72903
Phone
(479) 452-1580
Fax
(479) 452-6910
NPI assigned
Sep 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2463 AR Primary

Addresses

Primary practice location

8301 Rogers Avenue
Fort Smith, AR 72903

Mailing address

PO Box 10957
Fort Smith, AR 72917-0957
Phone (479) 452-1580

Other identifiers 1

IdentifierTypeStateIssuer
132180722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000509 AR Practitioner - Optometry 2466410139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8301 Rogers Ave
Fort Smith, AR 72903-5236

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Bill Keating, OD PA CurrentSince Aug 11, 1997 Accepting new patients
Dr. Shane F. Laster P.a. Optometrist PastSince Jun 1, 2025 Accepting new patients
Eye Group LLC Optometrist Past Accepting new patients

Locations

8301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 452-1580

2425 S Zero St
Fort Smith, AR 72901
Phone (479) 646-4983

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1205935111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10957",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729170957",
            "telephone_number": "479-452-1580",
            "fax_number": "479-452-6910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 ROGERS AVENUE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "72903",
            "telephone_number": "479-452-1580",
            "fax_number": "479-452-6910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "BILL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132180722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.