Lacy B Shaw, OD in Alexandria, LA - Medicare Optometry Provider

Lacy B Shaw, OD is a medicare enrolled "Optometrist" provider in Alexandria, Louisiana. He went to University Of Houston - College Of Optometry and graduated in 1972 and has 52 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Vision Source Alexandria, Llc and his current practice location is 5615-b Jackson St Ext, Alexandria, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 442-7787.

Lacy B Shaw is licensed to practice in Louisiana (license number 734-081T) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265528665.

Contact Information

	Lacy B Shaw, OD
	5615-b Jackson St Ext, Alexandria, LA 71303
	(318) 442-7787
	(318) 443-1654

Map and Direction

Healthcare Provider's Profile

Full Name	Lacy B Shaw
Gender	Male
Speciality	Optometry
Experience	52 Years
Location	5615-b Jackson St Ext, Alexandria, Louisiana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lacy B Shaw attended and graduated from University Of Houston - College Of Optometry in 1972

NPI Data:

NPI Number: 1265528665
Provider Enumeration Date: 10/04/2006
Last Update Date: 08/05/2014

Medicare PECOS Information:

PECOS PAC ID: 9931391505
Enrollment ID: I20101014000692

Medical Identifiers

Medical identifiers for Lacy B Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265528665	NPI	-	NPPES
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	LA
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

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	734-081T (Louisiana)	Primary
152WC0802X	Optometrist - Corneal And Contact Management	734-081T (Louisiana)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vision Source Alexandria, Llc	7113152968	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lacy B Shaw allows following entities to bill medicare on his behalf.

Provider Name	Vision Source Alexandria, Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1356694434 PECOS PAC ID: 7113152968 Enrollment ID: O20131101000859

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lacy B Shaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lacy B Shaw, OD 5615-b Jackson St Ext, Alexandria, LA 71303 Ph: (318) 442-7787	Lacy B Shaw, OD 5615-b Jackson St Ext, Alexandria, LA 71303 Ph: (318) 442-7787

Reviews and Comments

Optometrist in Alexandria, LA

Dr. Toni Coates Harvey, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2148 N Mall Dr, Alexandria, LA 71301 Phone: 318-442-0243 Fax: 318-442-2406
Christina Rene Zamora, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 231 Windermere Blvd, Alexandria, LA 71303 Phone: 318-487-2020 Fax: 318-445-7745
Dr. William C Risinger Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3908 Parliament Dr, Alexandria, LA 71303 Phone: 318-445-5319
Hunter Peterson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 231 Windermere Blvd, Alexandria, LA 71303 Phone: 318-487-2020
Cenla Vision Source, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5615b Jackson St, Alexandria, LA 71303 Phone: 318-442-7787 Fax: 318-443-1654
Dr. Phillip Leo Carney Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4300 Parliament Dr, Alexandria, LA 71303 Phone: 318-448-0221 Fax: 318-448-1829

Lacy B Shaw, OD - Medicare Optometrist in Alexandria, LA