DR. EDWARD JOSEPH MALIK O.D.
NPI 1013061241
Optometrist in Las Vegas, NV
NPI Status: Active since January 23, 2007
Contact Information
11035 LAVENDER HILL DR STE 180
LAS VEGAS, NV
ZIP 89135
Phone: (702) 254-0332
Fax: (702) 685-4112
- Individual
- Male
- Years of Experience 37
- Optometrist
- PECOS Enrolled
- May Accept Medicare Approved Payment
About EDWARD MALIK
Edward Malik is a provider established in Las Vegas, Nevada and his medical specialization is Optometrist with more than 37 years of experience. He graduated from Southern California College Of Optometry in 1987. The healthcare provider is registered in the NPI registry with number 1013061241 assigned on January 2007. The practitioner's primary taxonomy code is 152W00000X with license number 236 (NV). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1013061241
- Provider Name
- DR. EDWARD JOSEPH MALIK O.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 11035 LAVENDER HILL DR STE 180 LAS VEGAS, NV 89135
- Location Phone
- (702) 254-0332
- Location Fax
- (702) 685-4112
- Mailing Address
- 11035 LAVENDER HILL DR STE 180 LAS VEGAS, NV 89135
- Mailing Phone
- (702) 254-0332
- Mailing Fax
- (702) 685-4112
- Medical School Name
- SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
- Graduation Year
- 1987
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-23-2007
- Last Update Date
- 10-03-2022
- Code Navigator
Edward Malik is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist
- Taxonomy Code
- 152W00000X
- Type
- Eye and Vision Services Providers
- License No.
- 236
- License State
- NV
- Taxonomy Description
- Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Blue Cross and Blue Shield of Illinois
- Blue Choice Preferred Bronze PPO℠ 201 - PPO
- Blue Choice Preferred Bronze PPO℠ 202 - PPO
- Blue Choice Preferred Bronze PPO℠ 601 - Rx Copays - PPO
- Blue Choice Preferred Bronze PPO℠ 701 - Rx Copays - PPO
- Blue Choice Preferred Bronze PPO℠ 708 - PPO
- Blue Choice Preferred Gold PPO℠ 204 - Rx Copays - PPO
- Blue Choice Preferred Gold PPO℠ 707 - PPO
- Blue Choice Preferred Security PPO℠ 200 - PPO
- Blue Choice Preferred Silver PPO℠ 203 - PPO
- Blue Choice Preferred Silver PPO℠ 706 - PPO
Blue Cross and Blue Shield of Louisiana
- Blue Max 100/100 $9450 - PPO
- Blue Max 70/50 $6700 - PPO
- Blue Max 90/70 $1500 - PPO
- Blue Max Copay 50/50 $3300 - PPO
- Blue Max Copay 50/50 $7500 Standardized Plan - PPO
- Blue Max Copay 60/40 $5900 Standardized Plan - PPO
- Blue Max Copay 75/55 $1500 Standardized Plan - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
Blue Cross and Blue Shield of Montana
- Blue Focus Bronze POS℠ 205 - POS
- Blue Focus Bronze POS℠ 705 - POS
- Blue Focus Bronze POS℠ 708 - POS
- Blue Focus Gold POS℠ 207 - POS
- Blue Focus Gold POS℠ 707 - POS
- Blue Focus Silver POS℠ 206 - POS
- Blue Focus Silver POS℠ 706 - POS
- Blue Preferred Bronze PPO℠ 201 - PPO
- Blue Preferred Bronze PPO℠ 202 - PPO
- Blue Preferred Bronze PPO℠ 301 - PPO
Blue Cross and Blue Shield of Oklahoma
- Blue Advantage Bronze PPO℠ 801 - PPO
- Blue Advantage Bronze PPO℠ 202 - PPO
- Blue Advantage Bronze PPO℠ 203 - PPO
- Blue Advantage Gold PPO℠ 309 - PPO
- Blue Advantage Gold PPO℠ 604 - PPO
- Blue Advantage Gold PPO℠ 803 - PPO
- Blue Advantage Silver PPO℠ 204 - PPO
- Blue Advantage Silver PPO℠ 501 - PPO
- Blue Advantage Silver PPO℠ 605 - PPO
- Blue Advantage Silver PPO℠ 802 - PPO
Blue Cross and Blue Shield of Texas
- Blue Advantage Bronze HMO℠ 204 - HMO
- Blue Advantage Bronze HMO℠ 301 - HMO
- Blue Advantage Bronze HMO℠ 302 - HMO
- Blue Advantage Bronze HMO℠ 707 - HMO
- Blue Advantage Gold HMO℠ 206 - HMO
- Blue Advantage Gold HMO℠ 603 - HMO
- Blue Advantage Gold HMO℠ 706 - HMO
- Blue Advantage Plus Bronze℠ 303 - POS
- Blue Advantage Plus Bronze℠ 305 - POS
- Blue Advantage Plus Bronze℠ 707 - POS
Blue Cross Blue Shield of Wyoming
- BlueSelect Bronze Balance - PPO
- BlueSelect Bronze Basic - PPO
- BlueSelect Bronze Core - PPO
- BlueSelect Bronze Value - PPO
- BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
- BlueSelect Gold Balance - PPO
- BlueSelect Gold Classic - PPO
- BlueSelect Gold Core - PPO
- BlueSelect Gold HealthPlus - PPO
- BlueSelect Gold Standard without Kid's Dental - PPO
BlueCross BlueShield of Tennessee
- BlueCross B07E HSA $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B07E HSA + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B07L HSA + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B07S HSA + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B08S $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B10E $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B10L $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B10S $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B11E $25 PCP Copay at Blue of TN + $0 Virtual Care for Medical & Mental Health - EPO
- BlueCross B15E $0 Virtual Care for Medical & Mental Health - EPO
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 880329534 | OTHER (01) | NV | TAX ID |
PECOS Enrollment and Medicare Participation Status
Edward Malik is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3678508496
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050929001355
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: No
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 89135 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $138.56
- Minimum New Patient Price $60.19
- Maximum New Patient Price $183.01
- Average New Patient Copayment $34.64
- Minimum New Patient Copayment $15.04
- Maximum New Patient Copayment $45.75
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $75.13
- Minimum Established Patient Price $18.54
- Maximum Established Patient Price $149
- Average Established Patient Copayment $18.78
- Minimum Established Patient Copayment $4.63
- Maximum Established Patient Copayment $37.25
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Clinician Services
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.
- 43
Photography of the retina (HCPCS:92250)
Reviews for DR. EDWARD JOSEPH MALIK O.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 6 | 1 | 2 | 4 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 6 | 2 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 6 + 2 + 2 + 8 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1013061241 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164663597 | EDWARD J MALIK OD CHARTERED AND ASSOCIATES Organization | Optometrist | 11035 LAVENDER HILL DR STE 180 LAS VEGAS, NV 89135 (702) 254-0332 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013061241, enumerated in the NPI registry as an "individual" on January 23, 2007
The provider is located at 11035 Lavender Hill Dr Ste 180 Las Vegas, Nv 89135 and the phone number is (702) 254-0332
The provider's speciality is Optometrist with taxonomy code 152W00000X
The provider has more than 37 years of experience. He graduated from Southern California College Of Optometry in 1987.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Illinois, Blue Cross. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of May 03, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).
Medicare beneficiaries should expect a typical cost of $138.56 with an average copayment of $34.64 for new patient appointments. Established patients should expect a typical charge of $75.13 and an average copayment of 18.78. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Photography of the retina.
This NPI record was last updated on January 23, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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