Optical would have all the problems the current RF (Iridium) solution has plus more...
* Clouds are a killer.
* Laser is highly focused - downlink would be tricky to support more than a couple of ground stations. Uplink would be extremely difficult because the uplink would have to track a (relatively) fast moving LEO satellite. Neither would lend themselves to a handheld ground station ("phone").
* Non-laser solutions likely don't have the bandwidth or the power to be effective.
Indeed, aiming the collimated beam would be a problem, but not an insurmountable one. Given the bandwidth benefits and the relatively small size of the transmitter (compared to microwave), many small (cheap) satellites could serve the same purpose as an Iridium constellation.
It wouldn't work indoors, but neither do satellite microwave links. The reason cell tower signals reach indoors is signal strength. It's prohibitively expensive to place equivalent transmitters into orbit.
UV wave generation requires significantly more energy consumption than microwaves. Plus, UV radiation is highly absorbed in the atmosphere, leading to low signal to noise ratio.
Various super high bandwidth dod constellations (TSAT which was recently cancelled due to costs) included optical inter satellite links in space. Basically, a few gbps of connectivity dorm each satellite to the ground via rf, and then laser links in space at 10-40 gbps linking the satellites.
Not really as feasible for the ground link for a variety of reasons, but the space part actually makes sense.