LACY B SHAW (NPI# 1265528665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265528665 |
| Entity Type | Individual |
| Full Name | LACY B SHAW |
| Credential | O.D. |
| Practice Address |
5615-b Jackson St Ext Alexandria LA 71303 |
| Practice Telephone | 3184427787 |
| Practice Fax Number | 3184431654 |
| Mailing Telephone | 3184427787 |
| Mailing Fax Number | 3184431654 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2014-08-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 734-081T | LA | Eye and Vision Services Providers |
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
734-081T | LA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PPO PLUS | 72-0756964 | 01 | |
| AMERICAN LIFE CARE | 72-0756964 | 01 | |
| HUMANA | 72-0756964 | 01 | |
| OFFICE OF GROUP BENEFITS | 72-0756964 | 01 | |
| AETNA | 72-0756964 | 01 | |
| LA | 1153486 | 05 | |
| FARA | 72-0756964 | 01 | |
| UNITED HEALTHCARE | 72-0756964 | 01 | |
| MAIL HANDLERS | 72-0756964 | 01 | |
| VISION SERVICE PLAN | 720756964 | 01 | |
| SPECTERA | 85731 | 01 | |
| STARMOUNT/ALWAYS VISION | 16670 | 01 | |
| RAILROAD MEDICARE | 410008037 | 01 | |
| DEFINITY HEALTH | 72-0756964 | 01 | |
| FIRST HEALTH | 72-0756964 | 01 | |
| EYEMED | LA4081 | 01 |
| Street Address |
5615-B JACKSON ST EXT |
| City | ALEXANDRIA |
| State | LA |
| Zip Code | 71303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346877370 | Victoria Bowie | Peer Specialist | 1405 Peterman Drive Suite A, Alexandria, LA 71303 | 2020-03-27 |
| 1396375051 | Christin Authement | Social Worker | 8326 Kelwood Avenue, Alexandria, LA 71303 | 2020-01-22 |
| 1164904520 | Carissa A Sorenson | Pharmacist | 4448 Jackson St, Alexandria, LA 71303 | 2018-09-02 |
| 1144731027 | Bradly Herman | Counselor | 1450 Peterman Drive, Alexandria, LA 71303 | 2017-10-18 |
| 1669991915 | Rashika Holmes | Counselor | 1538 Chase Dr, Alexandria, LA 71303 | 2017-09-18 |
| 1215466594 | Terraniecya Shepherd | Case Manager/Care Coordinator | 700 Veterans Dr. Apt. 608, Alexandria, LA 71303 | 2017-06-08 |
| 1427587864 | Jason Micheal Lachica | Counselor | 3921 Indpendence Drive Ste 104, Alexandria, LA 71303 | 2017-06-08 |
| 1669929188 | Ryan Knoll | Chiropractor | 5419 Jackson St. Ext. Suite B, Alexandria, LA 71303 | 2016-09-01 |
| 1023464393 | Heart of Hospice, LLC | Hospice Care, Community Based | 1001 Bayou Pl, Alexandria, LA 71303 | 2016-05-05 |
| 1770947764 | Jiquiah White | Counselor | 2016 Innis Dr, Alexandria, LA 71303 | 2016-04-06 |
| Find all providers in zip 71303 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261309 | Benjamin Hieu Vu | Optometrist | 5615b Jackson St, Alexandria, LA 71303-2275 | 2020-10-05 |
| 1639704232 | Barton Eye Care LLC | Optometrist | 2306 S Broadway St Ste 12, Alexandria, MN 56308-1883 | 2020-03-04 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1932622735 | Stephen M Leblanc | Optometrist | 5917 Jackson St, Alexandria, LA 71303-2048 | 2017-07-24 |
| 1902356157 | Michelle My Le | Optometrist | 6475 Old Beulah St, Alexandria, VA 22315-3723 | 2016-10-12 |
| 1609322320 | Jonathan Look | Optometrist | 1632a Belle View Blvd, Alexandria, VA 22307-6531 | 2016-09-01 |
| 1144670530 | Dr. Susan Ly O.d. and Associates Pllc | Optometrist | 6411 Edsall Rd, Alexandria, VA 22312-6411 | 2016-06-15 |
| 1801231279 | Michael R Duenas | Optometrist | 1505 Prince St, Suite 300, Alexandria, VA 22314-2852 | 2013-04-30 |
| 1689919847 | Kings Crossing Optometry, LLC | Optometrist | 6307-d Richmond Highway, Alexandria, VA 22306 | 2012-11-29 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 71303 |
Please comment or provide details below to improve the information on LACY B SHAW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.