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MCCULLEY OPTIX GALLERY
NPI 1497871214
Optometrist in West Fargo, ND

Active since March 22, 2007
567 32ND AVE E, WEST FARGO, ND 58078(701) 373-2020(701) 373-0021 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2023, Aug 22, 2020 (2 updates tracked since 2020).

About Mcculley Optix Gallery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCCULLEY OPTIX GALLERY (NPI 1497871214) is a healthcare organization registered as an optometrist in West Fargo, North Dakota and active in the NPI registry since March 2007. The organization lists Melissa J Mcculley, President, as its authorized official.

NPPES Registry Identity

NPI1497871214
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameMELISSA J MCCULLEY O D P C
Location Address567 32ND AVE EWest Fargo, ND 58078-8480
Mailing Address567 32nd Ave EWest Fargo, ND 58078-8480 · (701) 373-2020 · Fax (701) 373-0021
Phone(701) 373-2020
Fax(701) 373-0021
Organization SubpartNo
Authorized OfficialMelissa J McculleyPresident · (701) 373-2020
Enumeration DateMarch 22, 2007
Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2023
✔ NPI 1497871214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in ND · ND597
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
567 32ND AVE E, West Fargo, ND 58078
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Other Names 1

Doing Business AsMcculley Optix Gallery

Other Identifiers 2

Other06711001ND · Blue Shield Group Number
Other88G74MCMN · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mcculley Optix Gallery is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mcculley Optix Gallery, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Tracie Malsom, OD
Optometry
NPI 1720038441
1695 43RD ST S
Fargo, ND 58103
(701) 235-3937
✔ PECOS✔ Accepts Medicare2.3 mi
Melissa Mcculley, O.D.
Optometry
NPI 1912023714
2553 KIRSTEN LN S # 202
Fargo, ND 58104
(701) 373-2020
✔ PECOS✔ Accepts Medicare3.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa J Mcculley O D P C's NPI number?

The NPI number for Melissa J Mcculley O D P C is 1497871214. It was assigned to this organization in the NPPES registry on March 22, 2007. The provider is doing business as Mcculley Optix Gallery.

Where is Melissa J Mcculley O D P C located?

Melissa J Mcculley O D P C is located at 567 32nd Ave E, West Fargo, ND 58078. The listed phone number is (701) 373-2020.

What is Melissa J Mcculley O D P C's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Melissa J Mcculley O D P C enrolled in Medicare?

Yes. Melissa J Mcculley O D P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Melissa J Mcculley O D P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Melissa J Mcculley O D P C. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Melissa J Mcculley O D P C accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Melissa J Mcculley O D P C as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Melissa J Mcculley O D P C was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.