National Provider Identifier Database

LACY B SHAW, OD – NPI #1265528665
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.

Contact Information

LACY B SHAW, OD
5615-B JACKSON ST EXT
ALEXANDRIA, LA  71303
Phone: 318-442-7787
Fax: 318-443-1654
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X
Corneal and Contact Management 152WC0802X

* Indicates primary specialty

NPI Profile & details for LACY B SHAW

NPI Number 1265528665
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 10/04/2006
Last updated 08/05/2014 - About 12 years ago
Sole proprietor1 Yes
Identifiers
  • LA License #: 734-081T
  • LA Medicaid: 1153486
  • Other: 72-0756964 AETNA
  • Other: 72-0756964 AMERICAN LIFE CARE
  • Other: 72-0756964 DEFINITY HEALTH
  • Other: LA4081 EYEMED
  • Other: 72-0756964 FARA
  • Other: 72-0756964 FIRST HEALTH
  • Other: 72-0756964 HUMANA
  • Other: 72-0756964 MAIL HANDLERS
  • Other: 72-0756964 OFFICE OF GROUP BENEFITS
  • Other: 72-0756964 PPO PLUS
  • Other: 410008037 RAILROAD MEDICARE
  • Other: 85731 SPECTERA
  • Other: 16670 STARMOUNT/ALWAYS VISION
  • Other: 72-0756964 UNITED HEALTHCARE
  • Other: 720756964 VISION SERVICE PLAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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