Shane F Laster, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2427 Issued in AR

Practice address

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

Phone

(479) 242-2020

Fax

(479) 242-1919

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Optometry

Education

Other, 1994

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)

Hospital & facility affiliations

• Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Dr. Shane F. Laster P.a.

  • Optometrist
  • Fort Smith, AR
  • NPI 1912415563

  OK

  Medicare reassignment Care Compare group NPD Authorized official
• Executive Park Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Fort Smith, AR
  • NPI 1699736777
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Hospital Fort Smith

  • General Acute Care Hospital
  • Fort Smith, AR
  • NPI 1568433480
  Care Compare affiliation

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1215998331",
    "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": [],
    "basic": {
        "last_name": "LASTER",
        "first_name": "SHANE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2427",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2135",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130679722",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764560A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joel David Larru, CNP
• Jessica Larson, OD
• Emily Larue, BCBA
• Joni Laster, MS, CF-SLP
• Seth Laster, OD
• Krystal Aruna Latchman, MD
• Laura Laughter, PA-C
• Laura Shaikh MD PA
• Brittnee Laurent
• Charles Lauver

• Optometrist in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Optometrist in Arkansas

• 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.

Verify at the official NPI Registry.