Individual provider Active NPI

Dena Amerine Harris, PA

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1801875794
Registry record updated Apr 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2339 Issued in AR
Practice address
4900 Rogers Ave Ste 103a
Fort Smith, AR 72903-2068
Phone
(479) 452-8200
Fax
(479) 452-6779
NPI assigned
Jan 10, 2006
Last updated
Apr 14, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2339 AR Primary

Addresses

Primary practice location

4900 Rogers Ave Ste 103a
Fort Smith, AR 72903-2068

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
102252722MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111026000594 AR Practitioner - Optometry 8820105927

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Plus Inc CurrentSince Jun 14, 2001 Accepting new patients
Dr. Shane F. Laster P.a. Optometrist CurrentSince Mar 30, 2026 Accepting new patients

Locations

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

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302739200000",
    "number": "1801875794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 ROGERS AVE STE 103A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032068",
            "telephone_number": "479-452-8200",
            "fax_number": "479-452-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 ROGERS AVE STE 103A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032068",
            "telephone_number": "479-452-8200",
            "fax_number": "479-452-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERINE HARRIS",
        "first_name": "DENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2011-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102252722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.