Lacy B Shaw is a Alexandria, Louisiana based male Optometrist with 52 years of experience in Optometry. He completed his graduation from University Of Houston - College Of Optometry in 1972. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Lacy B Shaw is 734-081T for Optometry in Louisiana. Lacy B Shaw 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Lacy B Shaw speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
52+ years
Medical School Attended:
University Of Houston - College Of Optometry
Graduation Year:
1972
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
5615-b Jackson St Ext, Alexandria, Louisiana, 71303
Phone:
318-442-7787
Fax:
318-443-1654
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9931391505
Enrollment ID:
I20101014000692
NPI Number:
1265528665
NPI Enumeration Date:
04 Oct, 2006
NPI Last Update On:
05 Aug, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lacy B Shaw are as mentioned below.
License Number
Specialization
State
Status
734-081T
Optometry
Louisiana
Primary
734-081T
Optometry - Corneal and Contact Management
Louisiana
Secondary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Lacy B Shaw has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Vision Source Alexandria,llc (7113152968)
2
Other Medical Identifiers:
Other legacy medical identifiers associated with Lacy B Shaw such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
72-0756964
Other
FARA
72-0756964
Other
FIRST HEALTH
72-0756964
Other
OFFICE OF GROUP BENEFITS
72-0756964
Other
UNITED HEALTHCARE
LA4081
Other
EYEMED
72-0756964
Other
AETNA
720756964
Other
VISION SERVICE PLAN
1153486
Medicaid
Louisiana
410008037
Other
RAILROAD MEDICARE
72-0756964
Other
PPO PLUS
72-0756964
Other
AMERICAN LIFE CARE
72-0756964
Other
HUMANA
16670
Other
STARMOUNT/ALWAYS VISION
72-0756964
Other
MAIL HANDLERS
72-0756964
Other
DEFINITY HEALTH
85731
Other
SPECTERA
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
5615-b Jackson St Ext, Alexandria, Louisiana
Zip:
71303
Phone Number:
318-442-7787
Fax Number:
318-443-1654
Patients can reach Lacy B Shaw at 5615-b Jackson St Ext, Alexandria, Louisiana or can call to book an appointment on 318-442-7787. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.