VISION SOURCE ALEXANDRIA LLC


Address: 5615b Jackson Street Ext, Alexandria, LA 71303-2275
Phone: 3184427787

VISION SOURCE ALEXANDRIA LLC (NPI# 1356694434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356694434
Entity Type Organization
Organization Name VISION SOURCE ALEXANDRIA LLC
Practice Address 5615b Jackson Street Ext
Alexandria
LA 71303-2275
Practice Telephone 3184427787
Practice Fax Number 3184431654
Mailing Telephone 3184427787
Mailing Fax Number 3184431654
Enumeration Date 2012-10-26
Last Update Date 2012-10-26
Authorized Official Name DR. LACY B SHAW (OWNER/DOCTOR)
Authorized Official Telephone 3184427787
Authorized Official Credential O.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 734-081T LA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
LA 1153486 05

Office Location

Street Address 5615B JACKSON STREET EXT
City ALEXANDRIA
State LA
Zip Code 71303-2275

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City ALEXANDRIA
Zip Code 71303

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Dataset Information

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.

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