Seth Laster, OD
NPI 1174184873ActiveIndividual· Optometrist· Fort Smith, AR
Optometrist (OD) with Dr. Shane F Laster PA, practicing in Fort Smith, Arkansas. Their prescriptions cost Medicare Part D more than their services did: $443,640 for 504 claims, against $66,184 paid for services in 2024. Biotissue Holdings Inc. was the largest of 9 companies reporting payments in 2025, $671.05 in all, mostly food and beverage.
Overview
| NPI | 1174184873 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OD |
| Sole proprietor | No |
| NPI issued | Jun 24, 2019 |
| Last updated in NPPES | Mar 8, 2021 |
| Certified by provider | Mar 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 2797 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (AR); Practitioner - Optometry (OK) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 317 |
|---|---|
| Services billed | 893 across 31 procedure codes |
| Paid by Medicare | $66,184 |
Part D prescriptions in 2024
| Prescriptions (claims) | 504 · 596 30-day fills |
|---|---|
| Patients | 161 |
| Total drug cost | $443,640 |
| Generic share | 52% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Optometry |
Medical group
- Dr. Shane F Laster PAPoteau, OK · 6 clinicians
Industry payments (Open Payments)
- 2025$671.05 · 17 payments from 9 companies
- 2024$335.21 · 17 payments from 7 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Biotissue Holdings Inc. | $262.90 | 2 |
| Baxter Healthcare | $152.40 | 1 |
| Johnson & Johnson Vision Care, Inc. | $64.88 | 3 |
| Coopervision Inc. | $49.21 | 3 |
| Tarsus Pharmaceuticals, Inc. | $47.50 | 3 |
What the 2025 payments were for
- Food and Beverage$518.65 · 16 payments
- Long term medical supply or device loan$152.40 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 49 optometrists in Fort Smith · All optometrists in Arkansas