Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vision Source Alexandria LLC

Organization Optometrist · NPI 1356694434

Vision Source Alexandria LLC is an Optometrist in Alexandria, Louisiana. Licensed in Louisiana. Registered with an NPI since 2012.

Licensed in
LA
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5615B Jackson Street Ext
Alexandria, LA 71303-2275
Phone: (318) 442-7787
Fax: (318) 443-1654
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 734-081T (LA)

Record details

NPI number1356694434
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lacy Shaw — Owner/Doctor · (318) 442-7787
NPI enumeratedOctober 26, 2012
Last updated in NPPESOctober 26, 2012
Mailing address5615b Jackson Street Ext, Alexandria, LA 71303-2275

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