Individual provider Active NPI

Cole Havard Stanton, OD

  • Optometrist
  • Booneville, AR
National Provider Identifier
1891471140
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2865 Issued in AR
Practice address
2 Riviera Dr
Booneville, AR 72927-5312
Phone
(479) 675-3451
Fax
(479) 675-3607
NPI assigned
Jun 22, 2023
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2865 AR Primary

Addresses

Primary practice location

2 Riviera Dr
Booneville, AR 72927-5312

Mailing address

8500 S 36TH Ter
Fort Smith, AR 72908-8880
Phone (479) 242-2020

Other practice location 1

1435 W Center St Ste A
Greenwood, AR 72936-3414
Phone (479) 888-1515

Other practice location 2

8500 S 36th Ter
Fort Smith, AR 72908-8880
Phone (479) 242-2020

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
I20230717002131 AR Practitioner - Optometry 0648630004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2023
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)

2 Riviera Dr
Booneville, AR 72927-5312
Phone (479) 675-3451

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

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2865ARMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Shane F. Laster P.a. Optometrist CurrentSince Jun 28, 2023 Accepting new patients
Eye Group LLC Optometrist Past Accepting new patients
Vision Plus Inc PastSince Oct 27, 2011 Accepting new patients
Austin Vision Care, P.a. Optometrist PastSince Jun 30, 2008 Accepting new patients

Locations

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

386 W 7th St
Ste B
Booneville, AR 72927
Phone (479) 675-3451

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

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

1435 W Center St
Ste A
Greenwood, AR 72936
Phone (479) 888-1515

Organizations & group practices 4

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": "1687392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1891471140",
    "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": "2 RIVIERA DR",
            "city": "BOONEVILLE",
            "state": "AR",
            "postal_code": "729275312",
            "telephone_number": "479-675-3451",
            "fax_number": "479-675-3607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 W Center St Ste A",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "AR",
            "postal_code": "729363414",
            "country_code": "US",
            "telephone_number": "479-888-1515",
            "fax_number": "479-888-1516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8500 S 36th Ter",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729088880",
            "country_code": "US",
            "telephone_number": "479-242-2020",
            "fax_number": "479-242-1919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STANTON",
        "first_name": "COLE",
        "middle_name": "HAVARD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-22",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Booneville, AR

Sources for this page

Verify at the official NPI Registry.