Individual provider Active NPI

Lawrence Allen King III, OD

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1568024230
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2803 Issued in AR
Practice address
4300 Rogers Ave Ste 46
Fort Smith, AR 72903-3152
Phone
(479) 785-0010
Fax
(479) 783-8478
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2803 AR Primary

Addresses

Primary practice location

4300 Rogers Ave Ste 46
Fort Smith, AR 72903-3152

Mailing address

4300 Rogers Ave Ste 46
Fort Smith, AR 72903-3152
Phone (479) 785-0010

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
I20191107001645 AR Practitioner - Optometry 2567894819 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 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)

4300 Rogers Ave
Suite 46
Fort Smith, AR 72903-3152
Phone (479) 785-0010

4900 Rogers Ave
Suite 103a
Fort Smith, AR 72903-2068
Phone (479) 452-8200

Merit-based Incentive Payment System (MIPS)

Final score
30 of 100Reported as individual
Quality
60
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2803ARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Shane F. Laster P.a. Optometrist CurrentSince Mar 30, 2026 Accepting new patients
James Eyecare Center, Inc Optometrist CurrentSince May 22, 2020 Accepting new patients
Hill Vision Center, Inc. Optometrist CurrentSince Aug 1, 2021 Accepting new patients
Vision Plus Inc CurrentSince Mar 30, 2026 Accepting new patients

Locations

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

4900 Rogers Ave
Ste 103A
Fort Smith, AR 72903
Phone (479) 452-8200

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

16623 Cantrell Rd
Ste 2D
Little Rock, AR 72223
Phone 50177303124680

6411 Valley Ranch Dr
Little Rock, AR 72223
Phone (501) 687-0826

117 Northridge Dr E
Ste A
Van Buren, AR 72956
Phone (479) 262-2080

Organizations & group practices 5

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1568024230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE STE 46",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033152",
            "telephone_number": "479-785-0010",
            "fax_number": "479-783-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 ROGERS AVE STE 46",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033152",
            "telephone_number": "479-785-0010",
            "fax_number": "479-783-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "LAWRENCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.