DR. SHANE F LASTER (NPI# 1215998331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215998331 |
| Entity Type | Individual |
| Full Name | DR. SHANE F LASTER |
| Credential | O.D. |
| Practice Address |
9001 Jenny Lind Rd Fort Smith AR 72908-8629 |
| Practice Telephone | 4792422020 |
| Practice Fax Number | 4792421919 |
| Mailing Telephone | 4792422020 |
| Mailing Fax Number | 4792421919 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 2135 | OK | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 2427 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 100764560A | 05 | |
| AR | 130679722 | 05 |
| Street Address |
9001 JENNY LIND RD |
| City | FORT SMITH |
| State | AR |
| Zip Code | 72908-8629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174184873 | Seth Laster | Optometrist | 9001 Jenny Lind Rd, Fort Smith, AR 72908-8629 | 2019-06-24 |
| 1912415563 | Dr. Shane F. Laster P.a. | Optometrist | 9001 Jenny Lind Rd, Fort Smith, AR 72908 | 2018-01-17 |
| 1124150875 | Fort Smith Cataract & Laser Center LLC | Clinic/Center | 9001 Jenny Lind Rd, Fort Smith, AR 72908-8629 | 2007-03-09 |
| 1336219773 | Bodiford Eye Institute, Pa | Ophthalmology | 9001 Jenny Lind Rd, Fort Smith, AR 72908-8629 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396224069 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste A, Fort Smith, AR 72908 | 2018-08-13 |
| 1609355528 | Baptist Health Services | Family Medicine | 8600 S 36th Ter Ste B, Fort Smith, AR 72908 | 2018-08-10 |
| 1578840765 | Thomas Macmahon | Counselor | 2505 Ramsgate Way, Fort Smith, AR 72908 | 2011-11-16 |
| 1790991453 | Dr Tom A Wood Chiropractic Inc | Chiropractor | 6108 S 31st Street, Ft Smith, AR 72908 | 2007-05-16 |
| 1952317687 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 South, Fort Smith, AR 72908 | 2006-08-01 |
| 1609879808 | Health Depot Pharmacies, LLC | Durable Medical Equipment & Medical Supplies | 7700 Hwy 271 S, Ft. Smith, AR 72908 | 2005-05-23 |
| 1700962438 | Kristin L Efurd | Speech-Language Pathologist | 3520 Glen Flora Way, Fort Smith, AR 72908-0719 | 2006-10-27 |
| 1760658488 | Hillaree Tiffee | Occupational Therapist | 3409 Coventry Ln, Fort Smith, AR 72908-0777 | 2008-05-02 |
| 1588051031 | Olivia Morgan Lensing | Speech-Language Pathologist | 10808 Saint Anthony Ct, Fort Smith, AR 72908-0789 | 2015-04-22 |
| 1871894493 | John Wikman | Surgery | 2400 Brigadoon Dr, Fort Smith, AR 72908-0911 | 2010-11-12 |
| Find all providers in zip 72908 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457905903 | Heather Snyder | Optometrist | 1021 South Waldron Road, Fort Smith, AR 72903 | 2019-08-01 |
| 1568024230 | Lawrence Allen King IIi | Optometrist | 4300 Rogers Ave Ste 46, Fort Smith, AR 72903-3152 | 2019-07-02 |
| 1780188193 | Brooke Houser | Optometrist | 6801 Rogers Ave Fl 5, Fort Smith, AR 72903-4067 | 2018-03-20 |
| 1457632515 | Charles C. Gibson, O.d.p.a. | Optometrist | 2425 S. Zero Street, Fort Smith, AR 72901 | 2011-09-02 |
| 1215235882 | Dr. Mark's Eye Care, P.a. | Optometrist | 2228 S 57th St, Fort Smith, AR 72903-3811 | 2011-03-07 |
| 1316102437 | Adam Michael Schluterman | Optometrist | 9220 Highway 71 S, Suite 10, Fort Smith, AR 72916-9117 | 2008-07-29 |
| 1689889503 | Larry J Grace | Optometrist | 2000 Dodson Ave, Fort Smith, AR 72901-4824 | 2007-05-14 |
| 1982705919 | Steve Roberts | Optometrist | 4220 Jenny Lind Rd, Fort Smith, AR 72901-7660 | 2006-09-25 |
| 1205935111 | Bill C Keating | Optometrist | 8301 Rogers Avenue, Fort Smith, AR 72903 | 2006-09-21 |
| 1376503169 | Kevin Huy Dang | Optometrist | 4189 Phoenix Ave, Fort Smith, AR 72903-6013 | 2006-03-24 |
| Find all providers in FORT SMITH | ||||
| City | FORT SMITH |
| Zip Code | 72908 |
Please comment or provide details below to improve the information on DR. SHANE F LASTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.