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LACY B SHAW O.D.
NPI 1265528665
Optometrist in Alexandria, LA

Active since October 04, 2006PECOS Enrolled
5615-B JACKSON ST EXT, ALEXANDRIA, LA 71303(318) 442-7787(318) 443-1654 Get Directions Write a Review

NPPES record last updated: August 5, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lacy B Shaw O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LACY B SHAW O.D. (NPI 1265528665) is an individual optometrist in Alexandria, Louisiana, licensed in Louisiana (734-081T) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265528665
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameLACY B SHAWCredential: O.D.
Location Address5615-B JACKSON ST EXTAlexandria, LA 71303
Mailing Address5615-b Jackson St ExtAlexandria, LA 71303 · (318) 442-7787 · Fax (318) 443-1654
Phone(318) 442-7787
Fax(318) 443-1654
Sole ProprietorYes
Enumeration DateOctober 4, 2006
Last NPPES UpdateAugust 5, 2014
✔ NPI 1265528665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in LA · 734-081T
Definition
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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X · License 734-081T (LA)
5615-B JACKSON ST EXT, Alexandria, LA 71303
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Other Identifiers 18

Other72-0756964American Life Care
Other72-0756964Mail Handlers
Other72-0756964Ppo Plus
Other410008037Railroad Medicare
Other72-0756964Definity Health
Other72-0756964First Health
OtherLA4081Eyemed
Medicaid1153486LA
Other72-0756964Fara
Other72-0756964Aetna
Other85731Spectera
Other720756964Vision Service Plan
Other16670Starmount/always Vision
Other72-0756964Humana
Medicare NSC0439680001LA
Other72-0756964Office Of Group Benefits
Other72-0756964United Healthcare
Medicare UPIN48912LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lacy B Shaw O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lacy Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Vision Source Alexandria LLC
Same address
Optometrist
5615B JACKSON STREET EXT
Alexandria, LA 71303
  • Reassigned Medicare billing, Louisiana enrollment
  • 2 clinicians in this Medicare group
NPI 1356694434 (318) 442-7787

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services15 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
15 services15 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71303 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lacy Shaw's NPI number?

The NPI number for Lacy Shaw is 1265528665. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Lacy Shaw located?

Lacy Shaw practices at 5615-B Jackson St Ext, Alexandria, LA 71303. The listed phone number is (318) 442-7787.

What is Lacy Shaw's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Lacy Shaw enrolled in Medicare?

Yes. Lacy Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lacy Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lacy Shaw reassigns Medicare benefits to Vision Source Alexandria LLC (Alexandria, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lacy Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lacy Shaw accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Lacy Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lacy Shaw was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.