Vanita Malik-Talwar, O.D.
Individual provider Active NPI Optometrist · Lucas, TX
NPI 1700908118 · NPPES record last updated Sep 26, 2016
Key facts
- NPI
- 1700908118
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 8346T (TX)
- Practice address
- 2662 W Lucas Rd
Lucas, TX 75002-7513 - Phone
- (972) 649-6500
- NPI assigned
- Apr 5, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046-009706 | IL | MD | Optometrist |
| 8346T | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brilliant Eyecare, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-009706 | IL | |
| Optometrist | 152W00000X | 8346T | TX | Yes |
Addresses
Primary practice location
2662 W Lucas Rd
Lucas, TX 75002-7513
Mailing address
7004 Helena Way
McKinney, TX 75070-4465
Phone (847) 533-5816
Other providers in Lucas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.