Provider Demographics
NPI:1598031528
Name:SAIRAH I MALIK OD PA
Entity Type:Organization
Organization Name:SAIRAH I MALIK OD PA
Other - Org Name:PRO-OPTIX EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SAIRAH
Authorized Official - Middle Name:I
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-922-9896
Mailing Address - Street 1:16103 LEXINGTON BLVD
Mailing Address - Street 2:SUITE I
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2385
Mailing Address - Country:US
Mailing Address - Phone:281-242-1331
Mailing Address - Fax:281-242-0603
Practice Address - Street 1:16103 LEXINGTON BLVD
Practice Address - Street 2:SUITE I
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2385
Practice Address - Country:US
Practice Address - Phone:281-242-1331
Practice Address - Fax:281-242-0603
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-23
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6717TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty