Organization
LACY EYE CARE SERVICES PC
Active
Other names
24/7 VISION AND EYECARE
Organization subpart
No
Provider details
NPI number
Authorized official
MALKISHUANA M LACY (OPTOMETRIST/OWNER)
(214) 333-3937
Entity
Organization
Contact information
Practice address
4444 W JEFFERSON BLVD STE 614, DALLAS, TX 75211-4611
(214) 333-3937
(214) 331-2021
Mailing address
4444 W JEFFERSON BLVD, STE 614, DALLAS, TX 75211-4600
(214) 333-3937
(214) 331-2021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
07205TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
285030701
—
TX
01
—
83032Q
BLUE CROSS BLUE SHIELD OF TEXAS
TX
Enumeration date
09/14/2012
Last updated
02/26/2015
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