MALKISHUANA MALKEIL LACY (NPI# 1396917514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396917514 |
| Entity Type | Individual |
| Full Name | MALKISHUANA MALKEIL LACY |
| Credential | O.D. |
| Practice Address |
4444 W Jefferson Blvd Ste 614 Dallas TX 75211-4600 |
| Practice Telephone | 2143333937 |
| Practice Fax Number | 2143312021 |
| Mailing Telephone | 2143333937 |
| Mailing Fax Number | 2143312021 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2015-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 7205TG | TX | Eye and Vision Services Providers |
| Street Address |
4444 W JEFFERSON BLVD STE 614 |
| City | DALLAS |
| State | TX |
| Zip Code | 75211-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164717906 | Ritesh Patel | Pharmacist | 4444 W Jefferson Blvd, Ste 614, Dallas, TX 75211-4600 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447883863 | Cre8tive Pediatric Dental Group | Dentist | 2201 Fort Worth Avenue, Dallas, TX 75211 | 2020-02-13 |
| 1104317601 | May Amria | Dentist | 3434 W Illinois Ave Ste 307, Dallas, TX 75211 | 2018-05-21 |
| 1235547787 | Los Barrios Unidos Community Clinic, Inc | Clinic/Center | 4732 W. Illinois, Dallas, TX 75211 | 2014-07-29 |
| 1568733616 | Amit Sethi | Dentist | 4475 Adler Dr Ste 103, Dallas, TX 75211 | 2012-01-21 |
| 1265764914 | Thomas Lee Schiller | Dentist | 1441 N. Cockrell Hill Rd.., Dallas, TX 75211 | 2010-02-05 |
| 1407030570 | Sylvia Dupuy | Speech-Language Pathologist | 1353 N. Westmoreland Rd., Bldg F, Dallas, TX 75211 | 2007-12-24 |
| 1801088802 | Smile Care Orthodontics | Dentist | 4390 I-30, Ste 200, Dallas, TX 75211 | 2007-08-14 |
| 1104047364 | Ronald Leon Thomas | Pharmacist | 1350 N. Westmoreland, Pharmacy Service, Dallas, TX 75211 | 2007-05-02 |
| 1578785515 | Rabiu E Omolaja | Case Manager/Care Coordinator | 1353 N. Westmoreland Road #2, Dallas, TX 75211 | 2007-05-02 |
| 1982828687 | Yokitha Kenyetta Hamp | Counselor | 1253 Westmoreland, Dallas, TX 75211 | 2007-04-12 |
| Find all providers in zip 75211 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221103 | Mel Vision LLC | Optometrist | 6471 E Northwest Hwy Ste 130, Dallas, TX 75231-8007 | 2020-10-02 |
| 1447872270 | James M Chin Pllc | Optometrist | 8041 Walnut Hill Ln # 817, Dallas, TX 75231-4332 | 2020-05-14 |
| 1073158192 | Med Southwest, Pllc | Optometrist | 11888 Marsh Ln Ste 114, Dallas, TX 75234-8083 | 2019-11-13 |
| 1053956185 | Med Southwest, Pllc | Optometrist | 5455 Belt Line Rd # 151, Dallas, TX 75254-1517 | 2019-11-13 |
| 1043867526 | Ht Optometry Pllc | Optometrist | 1201 Elm St Ste Ll20, Dallas, TX 75270-2029 | 2019-08-20 |
| 1396399721 | Libra Optometry Pa | Optometrist | 7859 Walnut Hill Ln Ste 185, Dallas, TX 75230-5605 | 2019-07-24 |
| 1841755212 | John Stuart Jr. | Optometrist | 12820 Hillcrest Rd Ste 100, Dallas, TX 75230-1516 | 2019-02-09 |
| 1518442565 | Daniel Max & Marc Andrea LLC | Optometrist | 6471 E Northwest Hwy, Dallas, TX 75231 | 2018-09-26 |
| 1265911663 | Jasmine Theresa Hayes | Optometrist | 2959 S Buckner Blvd Ste 700, Dallas, TX 75227-6950 | 2018-08-07 |
| 1306332226 | Lindsey Bank | Optometrist | 8611 Hillcrest Ave Ste 140, Dallas, TX 75225-4217 | 2018-07-03 |
| Find all providers in DALLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.