Lacy Eye Care Services PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

07205TG Issued in TX

Legal business name

LACY EYE CARE SERVICES PC

Doing business as

24/7 Vision and Eyecare

Practice address

4444 W Jefferson Blvd Ste 614
Dallas, TX 75211-4611

Phone

(214) 333-3937

Fax

(214) 331-2021

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

Malkishuana M LacyNPI 1396917514

Title

Optometrist/Owner

Phone

(214) 333-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• 24/7 VISION AND EYECARE Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malkishuana Malkeil Lacy, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1396917514
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1487904561",
    "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 STE 614",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752114611",
            "telephone_number": "214-333-3937",
            "fax_number": "214-331-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LACY EYE CARE SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "LACY",
        "authorized_official_first_name": "MALKISHUANA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "214-333-3937"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "07205TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "83032Q",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285030701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "24/7 VISION AND EYECARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelly Lacour, OT
• Rebecca Holly Lacour, MD
• Thomas Alcade Lacour Jr., MD
• Laura Hoppenstein Lacritz, PHD ABPP
• Lactation & Development Resources LLC
• Carlos N. Lacy, PHARM. D.
• Jordyn Taylor Lacy, PA-C
• Malkishuana Malkeil Lacy, O.D.
• Tarence Lacy
• Lacy's Medigo Transit

• Optometrist in Dallas, TX
• Providers in Dallas, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.