Seth Laster, OD
Optometrist · Fort Smith, ARNPI 1174184873
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 92.7% of the total across 76 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 19 manufacturers, the largest accounting for just 22.6% — the pattern of someone who eats at a lot of different presentations. 2025 is the largest year on record at $671, more than ten times the $5 reported in 2019.
Across 76 payments — averaging $27.51 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Biotissue Holdings Inc.$473
- Johnson & Johnson Vision Care, Inc.$464
- Bausch & Lomb Americas Inc.$284
- Baxter Healthcare$152
- Tarsus Pharmaceuticals, Inc.$136
- Optos, Inc.$98
- plus $485 from 13 others
What the payments were for
- Food & beverage$1,93993%
- Other$1527%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Biotissue Holdings Inc. | 8 | $473 |
| Johnson & Johnson Vision Care, Inc. | 26 | $464 |
| Bausch & Lomb Americas Inc. | 8 | $284 |
| Baxter Healthcare | 1 | $152 |
| Tarsus Pharmaceuticals, Inc. | 7 | $136 |
| Optos, Inc. | 1 | $98 |
| Oyster Point Pharma, Inc. | 3 | $69 |
| Alcon | 3 | $49 |
| Coopervision Inc. | 3 | $49 |
| Dompe US, Inc. | 2 | $43 |
| Harrow Eye, LLC | 2 | $40 |
| ABB Con-cise Optical Group LLC | 3 | $38 |
| AbbVie(2 entities) | 2 | $38 |
| Johnson & Johnson Surgical Vision, Inc. | 1 | $36 |
| LKC Technologies, Inc. | 1 | $31 |
| Bausch & Lomb, A Division Of Bausch Health US, LLC | 2 | $28 |
| Novartis | 1 | $24 |
| Sun Pharmaceutical Industries Inc. | 1 | $21 |
| Kala Pharmaceuticals, Inc. | 1 | $20 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Hillrom - Spot Vision Screener$152
- Prokera$138
- AmnioGraft$138
- MIEBO$125
How this compares
$2,091 in reported general payments places this provider in the 85th percentile of 442 optometrist providers in Arkansas.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| XdemvyLotilaner | 15 | $28,850 |
| RestasisCyclosporine | 33 | $22,776 |
| MieboPerfluorohexyloctane/Pf | 12 | $9,121 |
| LumiganBimatoprost | 36 | $8,934 |
| VyzultaLatanoprostene Bunod | 16 | $4,773 |
| Tobramycin-DexamethasoneTobramycin/Dexamethasone | 35 | $1,487 |
| Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol | 15 | $1,223 |
| TafluprostTafluprost/Pf | 12 | $1,172 |
| Latanoprost | 110 | $578 |
| Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat | 24 | $367 |
| ErythromycinErythromycin Base | 25 | $321 |
| Brimonidine Tartrate | 12 | $245 |
| ValacyclovirValacyclovir Hcl | 16 | $229 |
| Timolol Maleate | 26 | $158 |
| Ofloxacin | 11 | $127 |
Paid to pharmacies, not to this prescriber.
Companies that both paid and supply prescribed drugs
These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.
| Company | Paid to this provider | Part D cost of their drugs |
|---|---|---|
| AbbVieRestasis, Lumigan | $38 | $31,71069 claims |
| Tarsus Pharmaceuticals, Inc.Xdemvy | $136 | $28,85015 claims |
| Bausch & Lomb Americas Inc.Miebo, Vyzulta | $284 | $13,89328 claims |
Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 85th percentile of 442 optometrist providers in Arkansas.
Other optometrist in Fort Smith
- Shane LasterFort Smith$4K
- Malcolm HutchinsFort Smith$2K
- Christen CoatsFayetteville$216K
- Christopher MorrisRogers$6K
- Russell SimmonsBenton$6K
- Andrea HorneTontitown$6K
- Shelby BrogdonLittle Rock$5K
- Ryan BunchRogers$5K
- Alex BellRogers$5K
- Melissa PolkEl Dorado$5K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.