Individual
DR. ALEXIS G. MALKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
930 COMMONWEALTH AVE, BOSTON, MA 02215-1274
(617) 262-2020
Mailing address
424 BEACON ST, BOSTON, MA 02115-1129
(617) 262-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TA2134
MD
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPT5080
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417657000
—
MD
Enumeration date
08/07/2008
Last updated
08/28/2025
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