Organization
DR. SHANE F. LASTER P.A.
Active
Other names
Laster Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE F LASTER OD (PRESIDENT)
(479) 242-2020
Entity
Organization
Contact information
Practice address
8500 S 36TH TER, FORT SMITH, AR 72908-8880
(479) 242-2020
(479) 242-1919
Mailing address
8500 S 36TH TER, FORT SMITH, AR 72908-8880
(479) 242-2020
(479) 242-1919
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200749530A
—
OK
05
—
225442722
—
AR
Enumeration date
01/17/2018
Last updated
04/05/2022
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