Edward J Malik OD Chartered and Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

236 Issued in NV

Legal business name

EDWARD J MALIK OD CHARTERED AND ASSOCIATES

Doing business as

Edward J Malik, OD Chartered and Associates

Practice address

11035 Lavender Hill Dr Ste 180
Las Vegas, NV 89135-2957

Phone

(702) 254-0332

Fax

(702) 685-4112

NPI assigned

Mar 16, 2009

Last updated

Oct 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward Joseph Malik, O.D.NPI 1013061241

Title

President

Phone

(702) 254-0332

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Edward J Malik, OD Chartered and Associates Doing business as
• Edward J Malik OD Associates and Chartered Former legal business name

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Joseph Malik, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1013061241
  Medicare reassignment NPD Authorized official
• Sarah A. Martin, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1073799136
  NPD
• Hilaire Pressley, O.D

  • Optometrist
  • Las Vegas, NV
  • NPI 1255386702
  NPD (past)

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1164663597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11035 LAVENDER HILL DRIVE",
            "address_2": "STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "702-254-0332",
            "fax_number": "702-685-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11035 LAVENDER HILL DR STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891352957",
            "telephone_number": "702-254-0332",
            "fax_number": "702-685-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J MALIK OD CHARTERED AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-16",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-254-0332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "1013061241",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edward J Malik, OD Chartered and Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edward J Malik, OD Chartered and Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edward J Malik OD Associates and Chartered",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.