Jacqueline Alexis Malish, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

10873TG Issued in TX

Practice address

10740 N Central Expy Ste 300
Dallas, TX 75231-2168

Phone

(214) 360-0000

Fax

(214) 765-9453

NPI assigned

Apr 4, 2023

Last updated

Aug 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Glaucoma Associates of Texas PAGroup PAC ID 8325040769, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jacqueline.malish.p1@direct.glaucomaassociates-1.nextgenshare.com

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.

• Glaucoma Associates of Texas PA

  • Ophthalmology Physician
  • Dallas, TX
  • NPI 1679678239
  Medicare reassignment Care Compare group NPD
• University Ophthalmology Associates

  • Ophthalmology Physician
  • Jackson, MS
  • NPI 1477556231
  NPD (past)

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722643200000",
    "number": "1801591193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10740 N CENTRAL EXPY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312168",
            "telephone_number": "143-600-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10740 N CENTRAL EXPY STE 300",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752312168",
            "telephone_number": "214-360-0000",
            "fax_number": "214-765-9453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALISH",
        "first_name": "JACQUELINE",
        "middle_name": "ALEXIS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-04",
        "last_updated": "2024-08-03",
        "certification_date": "2024-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10873TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Kasim Malik, DO
• Nicholas Adam Malik, CAA
• Perveen F. Malik, MD
• Sadia Malik, MD
• Tarika Malik, DMD
• Elona Malja, MD
• Hannah Malkey
• Richard Scott Malkowski, M.D.
• Neeraja Malladi, MD
• Preeti Malladi, M.D.

• 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 Aug 3, 2024; 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.