Dr Shane F Laster, OD | |
8500 S 36th Ter, Fort Smith, AR 72908-8880 | |
(479) 242-2020 | |
(479) 242-1919 |
Full Name | Dr Shane F Laster |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 30 Years |
Location | 8500 S 36th Ter, Fort Smith, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215998331 | NPI | - | NPPES |
130679722 | Medicaid | AR | |
100764560A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2427 (Arkansas) | Primary |
152W00000X | Optometrist | 2135 (Oklahoma) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Dr. Shane F Laster Pa | 9234499120 | 3 |
Dr. Shane F Laster Pa | 9234499120 | 3 |
Provider Name | Dr. Shane F Laster Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912415563 PECOS PAC ID: 9234499120 Enrollment ID: O20180214002830 |
Mailing Address | Practice Location Address |
---|---|
Dr Shane F Laster, OD 8500 S 36th Ter, Fort Smith, AR 72908-8880 Ph: (479) 242-2020 | Dr Shane F Laster, OD 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 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: Accepting Medicare Assignments 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: Not Enrolled in Medicare 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 |