| Vision Source Alexandria Llc | |
|
5615b Jackson Street Ext, Alexandria, LA 71303-2275 | |
| (318) 442-7787 | |
| (318) 443-1654 |
| Full Name | Vision Source Alexandria Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5615b Jackson Street Ext, Alexandria, Louisiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356694434 | NPI | - | NPPES |
| 1153486 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 734-081T (Louisiana) | Primary |
| Provider Name | Lacy B Shaw |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265528665 PECOS PAC ID: 9931391505 Enrollment ID: I20101014000692 |
| Provider Name | Alayna Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972213197 PECOS PAC ID: 4880057462 Enrollment ID: I20230830000532 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Alexandria Llc 5615b Jackson Street Ext, Alexandria, LA 71303-2275 Ph: (318) 442-7787 | Vision Source Alexandria Llc 5615b Jackson Street Ext, Alexandria, LA 71303-2275 Ph: (318) 442-7787 |
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 | |
Lacy B Shaw, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5615-b Jackson St Ext, Alexandria, LA 71303 Phone: 318-442-7787 Fax: 318-443-1654 | |
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 |