| Dr. Shane F. Laster P.a. | |
|
8500 S 36th Ter, Fort Smith, AR 72908-8880 | |
| (479) 242-2020 | |
| (479) 242-1919 |
| Full Name | Dr. Shane F. Laster P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8500 S 36th Ter, Fort Smith, Arkansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912415563 | NPI | - | NPPES |
| 200749530A | Medicaid | OK | |
| 225442722 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Teri K Whittaker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982615977 PECOS PAC ID: 2769483718 Enrollment ID: I20070118000303 |
| Provider Name | Shane F Laster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1215998331 PECOS PAC ID: 0749318020 Enrollment ID: I20100506000605 |
| Provider Name | Seth C Laster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174184873 PECOS PAC ID: 9739415175 Enrollment ID: I20190723003808 |
| Provider Name | Cole Havard Stanton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891471140 PECOS PAC ID: 0648630004 Enrollment ID: I20230717002131 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Shane F. Laster P.a. 8500 S 36th Ter, Fort Smith, AR 72908-8880 Ph: (479) 242-2020 | Dr. Shane F. Laster P.a. 8500 S 36th Ter, Fort Smith, AR 72908-8880 Ph: (479) 242-2020 |
Dr. Clemit W Liles Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2425 S Zero St, Fort Smith, AR 72901 Phone: 479-763-1230 Fax: 479-777-4614 | |
Ennen Eye Center, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 3312 S 70th St, Fort Smith, AR 72903 Phone: 479-452-7800 Fax: 479-452-9486 | |
Dr. Cameron Fredrick Boboth, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1021 S Waldron Rd, Fort Smith, AR 72903 Phone: 479-478-8860 Fax: 479-478-8860 | |
J Steven Yaney Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4300 Rogers Ave, Greenpointe Center Suite 46, Fort Smith, AR 72903 Phone: 479-785-0010 Fax: 479-782-8478 | |
Dr. Bryley Jae Banks, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1021 S Waldron Rd, Fort Smith, AR 72903 Phone: 417-629-0505 | |
Dr. Mark Allen Horne, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5111 Rogers Ave Ste 54, Fort Smith, AR 72903 Phone: 479-452-0928 Fax: 479-452-0978 | |
Eye Group, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7901 Dallas St, Fort Smith, AR 72903 Phone: 479-782-8892 Fax: 479-782-8840 |