Individual provider Active NPI

Corbin Lill, OD

  • Optometrist
  • Poteau, OK
National Provider Identifier
1982533832
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3354 Issued in OK
Practice address
1104 Dewey Ave
Poteau, OK 74953-4412
Phone
(918) 649-0524
Fax
(918) 649-0891
NPI assigned
May 18, 2026
Last updated
Jul 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3354 OK Primary

Addresses

Primary practice location

1104 Dewey Ave
Poteau, OK 74953-4412

Mailing address

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

Other practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

104 Willowbrook Way
Poteau, OK 74953-2114

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Poteau Vision Source, PC CurrentSince Jul 27, 2026 Accepting new patients
Dr. Shane F. Laster P.a. Optometrist CurrentSince Feb 1, 2018 Accepting new patients

Locations

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

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

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": "1779062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1982533832",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 DEWEY AVE",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749534412",
            "telephone_number": "918-649-0524",
            "fax_number": "918-649-0891"
        }
    ],
    "practiceLocations": [
        {
            "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": "LILL",
        "first_name": "CORBIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "3354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.