Dr. Shane F. Laster P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR. SHANE F. LASTER P.A.

Practice address

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

Phone

(479) 242-2020

Fax

(479) 242-1919

NPI assigned

Jan 17, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Shane F Laster, ODNPI 1215998331

Title

President

Phone

(479) 242-2020

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Laster Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in AR, OK3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shane F Laster, O.D.

  • Optometrist
  • Fort Smith, AR
  • NPI 1215998331

  OK

  Medicare reassignment Care Compare group NPD Authorized official
• Lawrence Allen King III, OD

  • Optometrist
  • Fort Smith, AR
  • NPI 1568024230
  Medicare reassignment Care Compare group NPD
• Seth Laster, OD

  • Optometrist
  • Fort Smith, AR
  • NPI 1174184873

  OK

  Medicare reassignment Care Compare group NPD
• Cole Havard Stanton, OD

  • Optometrist
  • Booneville, AR
  • NPI 1891471140
  Medicare reassignment Care Compare group NPD
• Teri K. Whittaker I, OD

  • Optometrist
  • Bryant, AR
  • NPI 1982615977
  Medicare reassignment Care Compare group NPD
• Dena Amerine Harris, PA

  • Optometrist
  • Fort Smith, AR
  • NPI 1801875794
  NPD
• Laura Alyce Austin, O.D.

  • Optometrist
  • Fayetteville, AR
  • NPI 1689697864
  NPD
• Elizabeth Williams, OD

  • Optometrist
  • Fayetteville, AR
  • NPI 1982520169
  NPD
• Corbin Lill, OD

  • Optometrist
  • Poteau, OK
  • NPI 1982533832
  NPD
• Gary V Felker, M.D.

  • Specialist
  • Fort Smith, AR
  • NPI 1619949500
  NPD (past)
• Camille Marie Friday, OD

  • Optometrist
  • Fort Smith, AR
  • NPI 1609544279
  NPD (past)
• Robert Paul Hughes Jr., M.D.

  • Ophthalmology Physician
  • Fort Smith, AR
  • NPI 1366584047
  NPD (past)

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1912415563",
    "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": [
        {
            "address_1": "2 Riviera Dr",
            "address_purpose": "LOCATION",
            "city": "Booneville",
            "state": "AR",
            "postal_code": "729275312",
            "country_code": "US",
            "telephone_number": "479-675-3451",
            "fax_number": "479-675-3607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. SHANE F. LASTER P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-17",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "LASTER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-242-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200749530A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225442722",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laster Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Laster Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 Apr 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.