Mcculley Optix Gallery | |
567 32nd Ave E, West Fargo, ND 58078-8480 | |
(701) 373-2020 | |
(701) 373-0021 |
Full Name | Mcculley Optix Gallery |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 567 32nd Ave E, West Fargo, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497871214 | NPI | - | NPPES |
06711001 | Other | ND | BLUE SHIELD GROUP NUMBER |
88G74MC | Other | MN | BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ND597 (North Dakota) | Primary |
Provider Name | Melissa J Mcculley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912023714 PECOS PAC ID: 7012965023 Enrollment ID: I20051223000152 |
Provider Name | Ashley M Motacek |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780919340 PECOS PAC ID: 0244481968 Enrollment ID: I20121106000371 |
Provider Name | Tracie Malsom |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1720038441 PECOS PAC ID: 8628085750 Enrollment ID: I20131126001931 |
Mailing Address | Practice Location Address |
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Mcculley Optix Gallery 567 32nd Ave E, West Fargo, ND 58078-8480 Ph: (701) 373-2020 | Mcculley Optix Gallery 567 32nd Ave E, West Fargo, ND 58078-8480 Ph: (701) 373-2020 |
John Gregory Dye, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1207 Prairie Pkwy, West Fargo, ND 58078 Phone: 701-282-2020 Fax: 701-282-0230 | |
Brooke Marie Messer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 354 23rd Ave E, West Fargo, ND 58078 Phone: 701-566-5390 Fax: 605-371-7199 | |
Nicholas Christian Risbrudt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 354 23rd Ave E, West Fargo, ND 58078 Phone: 701-566-5390 Fax: 605-371-7199 | |
Madison Rae Bosh, Optometrist Medicare: Medicare Enrolled Practice Location: 354 23rd Ave E, West Fargo, ND 58078 Phone: 701-566-5390 Fax: 605-371-7199 | |
Anna Joy Miller, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 750 23rd Ave E, West Fargo, ND 58078 Phone: 701-281-2237 | |
Christian Jalen Pratt, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 505 32nd Ave E Ste B, West Fargo, ND 58078 Phone: 701-566-5390 Fax: 701-539-7199 |