Vision Source Alexandria Llc

  • 1356694434 NPI Number
  • |
  • Actived: 6 years ago
  • |
According to our database, NPI number for Vision Source Alexandria Llc is 1356694434 and actived since Friday, October 26 2012. Vision Source Alexandria Llc is an Organization provider specializes in Optometrist. Provider information was last updated on 10/26/2012.

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Overview of Vision Source Alexandria Llc

  • NPI number: 1346881877
  • Provider type: Organization
  • Specialty: Optometrist
  • Active since: 10/26/2012
  • Last updated: 10/26/2012

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 734-081T
  • License State: LA

Provider Mailing Address

  • Address: 5615b Jackson Street Ext
    Alexandria, LA 71303
  • Phone: 318-442-7787
  • Fax: 318-443-1654

Provider Practice Location

  • Address: 5615b Jackson Street Ext
    Alexandria, LA 71303
  • Phone: 318-442-7787
  • Fax: 318-443-1654

Authorized Official

  • Name: DR. Lacy B Shaw O.D.
  • Position/Title: Owner/doctor
  • Telephone Number: 318-442-7787

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 734-081T
  • License State: LA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 1153486
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: LA
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for Vision Source Alexandria Llc?
  • A: The npi number for Vision Source Alexandria Llc is 1356694434.
  • Q: What are Vision Source Alexandria Llc's specialties?
  • A: Vision Source Alexandria Llc's specialties are Optometrist and different specialities.
  • Q: Where is Vision Source Alexandria Llc business practice location?
  • A: Vision Source Alexandria Llc business practice location is 5615b Jackson Street Ext, Alexandria, LA 71303.
  • Q: How to contact Vision Source Alexandria Llc?
  • A: You can contact Vision Source Alexandria Llc via 318-442-7787.
  • Q: What is the authorized official for Vision Source Alexandria Llc?
  • A: The authorized office name is DR. Lacy B Shaw O.D. with position/title is Owner/doctor and you can reach the authorized official via phone number 3184427787.