Provider Demographics
NPI:1871476374
Name:CHLOEE K MALCOLM PLLC
Entity type:Organization
Organization Name:CHLOEE K MALCOLM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHLOEE
Authorized Official - Middle Name:KATHALEEN
Authorized Official - Last Name:MALCOLM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:989-426-8272
Mailing Address - Street 1:4646 RAU RD
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661-9126
Mailing Address - Country:US
Mailing Address - Phone:989-313-9855
Mailing Address - Fax:
Practice Address - Street 1:202 E CEDAR AVE
Practice Address - Street 2:
Practice Address - City:GLADWIN
Practice Address - State:MI
Practice Address - Zip Code:48624-2261
Practice Address - Country:US
Practice Address - Phone:989-426-8272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty