Organization Active NPI

Dr. Shane F. Laster P.a.

Doing business as Laster Eye Center

  • Optometrist
  • Fort Smith, AR
National Provider Identifier
1912415563
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. SHANE F. LASTER P.A.
Doing business as
Laster Eye Center
Practice address
8500 S 36TH Ter
Fort Smith, AR 72908-8880
Phone
(479) 242-2020
Fax
(479) 242-1919
NPI assigned
Jan 17, 2018
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

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

Mailing address

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

Other practice location 1

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

Other names 1

  • Laster Eye Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180214002830 AR Part B Supplier - Clinic/Group Practice 9234499120 Receives reassigned benefits from 5 practitioners
Practice locations: Booneville, AR; Greenwood, AR; Fort Smith, AR; Fayetteville, AR
O20190516002842 AR DME Supplier - Physician - Optometrist 9234499120 Practice locations: Fort Smith, AR
O20200317000063 OK Part B Supplier - Clinic/Group Practice 9234499120 Receives reassigned benefits from 2 practitioners
Practice locations: Roland, OK

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D2144965Laster Eye Center8500 S 36TH Terrace, Fort Smith, AR 72908Certificate of waiverFeb 26, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Laster Eye Center8500 S 36TH Ter, Fort Smith, AR 72908-8880(479) 242-2020 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Feb 1, 2018

National Provider Directory

National Provider Directory

Locations

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

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

9001 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 649-7018

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

1104 Dewey Ave
Poteau, OK 74953
Phone (918) 649-0524

307 E Ray Fine Blvd
Roland, OK 74954
Phone (479) 242-2020

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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": [],
    "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"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

  • 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.