MALKISHUANA MALKEIL LACY O.D.
NPI 1396917514
Optometrist in Dallas, TX

Q: What is Malkishuana Lacy's NPI number?

The NPI number for Malkishuana Lacy is 1396917514. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Q: What is Malkishuana Lacy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Malkishuana Lacy was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 27, 2008PECOS Enrolled

4444 W JEFFERSON BLVD, STE 614, DALLAS, TX 75211(214) 333-3937(214) 331-2021 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Malkishuana Malkeil Lacy O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALKISHUANA MALKEIL LACY O.D. (NPI 1396917514) is an individual optometrist in Dallas, Texas, licensed in Texas (7205TG) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396917514

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameMALKISHUANA MALKEIL LACYCredential: O.D.

Location Address4444 W JEFFERSON BLVD, STE 614Dallas, TX 75211-4600

Mailing Address4444 W Jefferson Blvd, Ste 614Dallas, TX 75211-4600 · (214) 333-3937 · Fax (214) 331-2021

Phone(214) 333-3937

Fax(214) 331-2021

Sole ProprietorNo

Enumeration DateMarch 27, 2008

Last NPPES UpdateFebruary 12, 2026

✔ NPI 1396917514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in TX · 7205TG

Definition

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.

4444 W JEFFERSON BLVD, Dallas, TX 75211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malkishuana Malkeil Lacy O.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Malkishuana Lacy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lacy Eye Care Services PC

Same address

Optometrist

4444 W JEFFERSON BLVD STE 614
Dallas, TX 75211

Reassigned Medicare billing, Texas enrollment

NPI 1487904561 (214) 333-3937

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$131.01 typical visit price

range $57.18 – $172.86

Typical copayment $32.75 (range $14.29 – $43.21)

Most-billed visit code 99204

Established Patient

$71.28 typical visit price

range $18.48 – $141.20

Typical copayment $17.82 (range $4.62 – $35.30)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RITESH PATEL PHARMD

Pharmacist

4444 W JEFFERSON BLVD, STE 614
DALLAS, TX 75211

Dallas County (214) 613-1111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malkishuana Lacy's NPI number?

The NPI number for Malkishuana Lacy is 1396917514. It was assigned to this individual provider in the NPPES registry on March 27, 2008.

Where is Malkishuana Lacy located?

Malkishuana Lacy practices at 4444 W Jefferson Blvd Ste 614, Dallas, TX 75211. The listed phone number is (214) 333-3937.

What is Malkishuana Lacy's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Malkishuana Lacy enrolled in Medicare?

Yes. Malkishuana Lacy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Malkishuana Lacy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Malkishuana Lacy reassigns Medicare benefits to Lacy Eye Care Services PC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Malkishuana Lacy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Malkishuana Lacy accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 18 other insurers list Malkishuana Lacy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Malkishuana Lacy was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.