Mcculley Optix Gallery

LBN: Melissa J Mcculley O D P C
Mcculley Optix Gallery is an health care organization with primary practice located at 567 32Nd Ave E , West Fargo ND 58078-8480. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Melissa J Mcculley O D P C can be contacted via phone (701) 373-2020, or through Mcculley, Melissa J via phone (701) 373-2020.

Contact Information

Primary practice address
567 32Nd Ave E West Fargo ND 58078-8480
Phone: (701) 373-2020
Fax: (701) 373-0021
Website:
Map and Directions
Authorized official contact:
Name: Mcculley, Melissa J Doctor of Optometry (OD)
Phone: (701) 373-2020

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ND597 North Dakota

Profile Details

NPI number 1497871214
LBN Legal business name Melissa J Mcculley O D P C
DBA Doing business as Mcculley Optix Gallery
Authorized official Mcculley, Melissa J Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 9th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497871214 NPPES
North Dakota Other 06711001 BLUE SHIELD GROUP NUMBER
North Dakota Other 88G74MC BLUE SHIELD GROUP NUMBER

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