Individual
DR. RILEY ZANE LASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3860 VICTORY BLVD, STATEN ISLAND, NY 10314-6720
(718) 370-2222
Mailing address
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703-1944
(479) 444-5093
(479) 587-6105
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009549
NY
152W00000X
Optometrist
3133
OK
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2021
Last updated
09/20/2022
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