Provider Demographics
NPI:1538898382
Name:LOTUS EYECARE PLLC
Entity type:Organization
Organization Name:LOTUS EYECARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SOPHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MALANI
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:901-218-2504
Mailing Address - Street 1:PO BOX 810694
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75381-0694
Mailing Address - Country:US
Mailing Address - Phone:901-218-2504
Mailing Address - Fax:
Practice Address - Street 1:2930 PRESTON RD STE 905
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9056
Practice Address - Country:US
Practice Address - Phone:901-218-2504
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty