Individual provider Active NPI

Laura Alyce Austin, O.D.

  • Optometrist
  • Fayetteville, AR
National Provider Identifier
1689697864
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2572 Issued in AR
Practice address
571 W Martin Luther King Blvd
Fayetteville, AR 72701-6404
Phone
(479) 527-0100
Fax
(479) 527-0102
NPI assigned
Jul 26, 2006
Last updated
Aug 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2572 AR Primary

Addresses

Primary practice location

571 W Martin Luther King Blvd
Fayetteville, AR 72701-6404

Mailing address

571 W Martin Luther King Blvd
Fayetteville, AR 72701-6404
Phone (479) 527-0100

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
I20070824000039 AR Practitioner - Optometry 0941392708 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2006
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

571 W Martin Luther King Jr Blvd
Fayetteville, AR 72701-6404
Phone (479) 527-0100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2572ARMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Vision Care, P.a. Optometrist CurrentSince May 28, 2008 Accepting new patients
Dr. Shane F. Laster P.a. Optometrist CurrentSince Jul 1, 2026 Accepting new patients

Locations

3081 N Highway 112
Fayetteville, AR 72704
Phone (479) 527-0100

3081 N Highway 112
Ste A
Fayetteville, AR 72704

571 W Martin Luther King Jr Blvd
#B
Fayetteville, AR 72701

571 W Martin Luther King Jr Blvd
#J
Fayetteville, AR 72701
Phone (479) 527-0100

571 W Mlk Jr Blvd
Fayetteville, AR 72701
Phone (479) 527-0100

Organizations & group practices 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533254400000",
    "number": "1689697864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016404",
            "telephone_number": "479-527-0100",
            "fax_number": "479-527-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 W MARTIN LUTHER KING BLVD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727016404",
            "telephone_number": "479-527-0100",
            "fax_number": "479-527-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "LAURA",
        "middle_name": "ALYCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2018-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

Verify at the official NPI Registry.