{"npi":"1497871214","type":"NPI-2","status":"active","name":{"display":"Melissa J Mcculley O D P C","other":[],"organization_name":"MELISSA J MCCULLEY O D P C","authorised_official":"Melissa Mcculley"},"specialty":{"primary_taxonomy":"152W00000X","primary_taxonomy_description":"Optometrist","slug":"optometrist","schema_org_specialty":null,"all":[{"code":"152W00000X","description":"Optometrist","primary":true,"state":"ND","license":"ND597"}]},"addresses":[{"purpose":"LOCATION","street_1":"567 32ND AVE E","city":"WEST FARGO","state":"ND","postal_code":"580788480","country_code":"US","phone":"7013732020","fax":"7013730021"},{"purpose":"MAILING","street_1":"567 32ND AVE E","city":"WEST FARGO","state":"ND","postal_code":"580788480","country_code":"US","phone":"7013732020","fax":"7013730021"}],"license":{"state":"ND","number":"ND597"},"identifiers":[{"type_code":"01","label":"Other","value":"06711001","state":"ND","issuer":"BLUE SHIELD GROUP NUMBER"},{"type_code":"01","label":"Other","value":"88G74MC","state":"MN","issuer":"BLUE SHIELD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20051223000141","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"ND","pac_id":"5890717490"}]},"enumeration_date":"2007-03-22","last_updated":"2023-02-09","_meta":{"source":"NPPES","snapshot_date":"2023-02-09","doc_url":"https://findmynpi.com/api"}}