Vision Source Alexandria LLC
NPI #1356694434 in Alexandria, Louisiana
Provider Information
- NPI Number
- 1356694434
- Entity Type
- Organization
- Organization Name
- Vision Source Alexandria LLC
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 26, 2012
- Last Updated
- Oct 26, 2012
Practice Location
- Address
- 5615B JACKSON STREET EXT
- City
- Alexandria
- State
- Louisiana
- ZIP Code
- 71303-2275
- Phone
- (318) 442-7787
Authorized Official
- Name
- DR. LACY B SHAW, O.D.
- Title
- OWNER/DOCTOR
- Phone
- (318) 442-7787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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