Amna Mirza Malik, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010021 Issued in IL

Practice address

750 S Randall Rd
Algonquin, IL 60102-5915

Phone

(847) 458-5343

Fax

(847) 458-4344

NPI assigned

May 2, 2006

Last updated

May 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 2005

Medicare assignment

May accept Medicare assignment

Group practices

In Focus Eyecare PCGroup PAC ID 0143520122, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• In Focus Eyecare P.C.

  • Optometrist
  • Algonquin, IL
  • NPI 1053723908
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401148800000",
    "number": "1154389963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10883 CONCORD LN",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601424041",
            "telephone_number": "832-641-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S RANDALL RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025915",
            "telephone_number": "847-458-5343",
            "fax_number": "847-458-4344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALIK",
        "first_name": "AMNA",
        "middle_name": "MIRZA",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2014-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010021",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ruth Lyman, MS
• Joanna Magdaleno, M.S., CF-SLP
• Feyza Mahjub, PT
• Kathleen A Majeski, PT
• Anne L Majewski, MD
• Kathleen Maloney, RN, NBC-HWC
• Rupal P Maniar
• Jessica Mary Manning, PTA
• Emil Marcucci
• Sabrina Marcuccilli, MSW

• Optometrist in Algonquin, IL
• Providers in Algonquin, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.