Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELYN LEE COSGROVE MALLEIS, O.D.
ActiveJACQUELYN LEE COSGROVE MALLEIS, O.D. is a Optometrist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1568999332 is currently active in the NPPES registry. Verify at CMS.
Optometrist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1568999332
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 11, 2017 (9.2523505458076 yrs)
- Last Updated
- Jan 30, 2025
- Licenses
-
OD60861196 (WA)4901005682 (MI)
Practice Information
- Address
-
2820 E BELTLINE LN NEGRAND RAPIDS, MI, 495259432Browse MI providers · Browse ZIP 49525
- Phone
- 6163635413
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Optometrist
Other Optometrist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| DR. RACHEL GATES | O.D. | 1174526479 |
| DR. GERARD M CHORYAN | O.D. | 1629072301 |
| DR. PHILIP J VANDERLUGT | O.D. | 1942204623 |
| DR. CHARLENE I HAMILTON | O.D. | 1366446973 |
| MRS. MONICA ANNE FENTON | O.D. | 1427052919 |
| DR. DAVID MICHAEL DEN BRABER | O.D. | 1336143825 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.