Active NPI
Malkishuana Malkeil Lacy, O.D.
- Optometrist
- Dallas, TX
National Provider Identifier
1396917514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7205TG
- Practice address
- 4444 W Jefferson Blvd
Ste 614
Dallas, TX 75211-4600 - Phone
- (214) 333-3937
- Fax
- (214) 331-2021
- NPI assigned
- Mar 27, 2008
- Last updated
- Feb 12, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7205TG | TX | Primary |
Addresses
Primary practice location
4444 W Jefferson Blvd
Ste 614
Dallas, TX 75211-4600
Mailing address
4444 W Jefferson Blvd
Ste 614
Dallas, TX 75211-4600
Phone (214) 333-3937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7205 | TX | MD | General Practice Dentistry |
| 7205TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lacy Eye Care Services PC | Optometrist | Current | Accepting new patients |
| Michael T Poynor OD PA | Optometrist | Past | Accepting new patients |
| Lindsey Alexander OD PA | Optometrist | Past | Accepting new patients |
Locations
4444 W Jefferson Blvd
Ste 614
Dallas, TX 75211
Phone (214) 613-1111
1380 Highway 287 N
Ste 104
Mansfield, TX 76063
Phone (817) 305-8088
Organizations & group practices 3
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.
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- NPI 1982950481
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- Optometrist
- Terrell, TX
- NPI 1710289376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1396917514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4444 W JEFFERSON BLVD",
"address_2": "STE 614",
"city": "DALLAS",
"state": "TX",
"postal_code": "752114600",
"telephone_number": "214-333-3937",
"fax_number": "214-331-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 W JEFFERSON BLVD",
"address_2": "STE 614",
"city": "DALLAS",
"state": "TX",
"postal_code": "752114600",
"telephone_number": "214-333-3937",
"fax_number": "214-331-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACY",
"first_name": "MALKISHUANA",
"middle_name": "MALKEIL",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-27",
"last_updated": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "7205TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.