Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Alexis Makiko McCullough, OD

Individual provider Optometrist · NPI 1942871645

Dr. Alexis Makiko McCullough, OD is an Optometry in San Diego, California. Graduated from Southern California College of Optometry in 2020, 6 years ago. Licensed in California.

Years since qualifying
6
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4353 La Jolla Village Dr Ste H-20
San Diego, CA 92122-1242
Phone: (858) 622-2165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34810 (CA)

Record details

NPI number1942871645
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 5, 2021
Last updated in NPPESJuly 5, 2021
Certification dateJuly 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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