DR. ALEXIS MAKIKO MCCULLOUGH OD
NPI 1942871645
Optometrist in San Diego, CA

Q: What is Alexis Mccullough's NPI number?

The NPI number for Alexis Mccullough is 1942871645. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Q: What is Alexis Mccullough's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexis Mccullough was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 05, 2021PECOS Enrolled

4353 LA JOLLA VILLAGE DR STE H-20, SAN DIEGO, CA 92122(858) 622-2165 Get Directions Write a Review

NPPES record last updated: July 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Alexis Makiko Mccullough Od NPPES

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

DR. ALEXIS MAKIKO MCCULLOUGH OD (NPI 1942871645) is an individual optometrist in San Diego, California, licensed in California (34810) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS and is a graduate of Southern California College Of Optometry (2020).

NPPES Registry Identity

NPI1942871645

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameDR. ALEXIS MAKIKO MCCULLOUGHCredential: OD

Location Address4353 LA JOLLA VILLAGE DR STE H-20San Diego, CA 92122-1242

Mailing Address2556 Chicago St Unit 28San Diego, CA 92110-4161 · (310) 480-0216

Phone(858) 622-2165

Sole ProprietorNo

Medical School CMSSouthern California College Of OptometryGraduated 2020

Enumeration DateJuly 5, 2021

NPPES CertifiedJuly 5, 2021

✔ NPI 1942871645 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 CA · 34810

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.

4353 LA JOLLA VILLAGE DR STE H-20, San Diego, CA 92122

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alexis Makiko Mccullough Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294129458

PECOS Enrollment IDI20260120002705, I20260127002712

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Alexis Mccullough's NPI number?

The NPI number for Alexis Mccullough is 1942871645. It was assigned to this individual provider in the NPPES registry on July 5, 2021.

Where is Alexis Mccullough located?

Alexis Mccullough practices at 4353 La Jolla Village Dr Ste H-20, San Diego, CA 92122. The listed phone number is (858) 622-2165.

What is Alexis Mccullough's specialty?

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

Is Alexis Mccullough enrolled in Medicare?

Yes. Alexis Mccullough is registered in the Medicare PECOS enrollment system.

What insurance does Alexis Mccullough accept?

Health plans from Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HealthPartners and 1 other insurer list Alexis Mccullough 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 Alexis Mccullough was last updated on July 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.