Mccaulley Optometric PA
Mccaulley Optometric PA is a healthcare organization registered as Optometrist in Great Bend, KS, holding Type 2 (organization) NPI 1043255243 since 2006. The authorized official on file is Russell Mccaulley, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1043255243 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Mccaulley Optometric PA |
| Other name | <Unavail> |
| Practice address | 2601 10TH ST, Great Bend, KS, 67530 |
| Phone | 6207922020 |
| Fax | 6207922583 |
| Enumeration date | 2006-06-19 |
| Last updated in NPPES | 2008-06-23 |
Authorized official
| Name | Russell Mccaulley |
|---|---|
| Title | Owner |
| Phone | 6207922020 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Secondary | 1692 | KS |
| 152W00000X | Optometrist | Primary | 1198-3 | KS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100213630A | Medicaid | KS | — |
| 005344 | Other | KS | BCBS GROUP NUMBER |
| 020075001 | Other | KS | CIGNA MC GROUP NUMBER |
Copy-ready billing details
Provider: Mccaulley Optometric PA NPI: 1043255243 Taxonomy: 152W00000X (Optometrist) Address: 2601 10TH ST, Great Bend, KS, 67530
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861463341 | Russell Mccaulley | Individual | Optometrist | Great Bend, KS |
| 1104897677 | Chad Premer | Individual | Optometrist | Great Bend, KS |
| 1700225299 | Nicole Miller | Individual | Optometrist | Great Bend, KS |
| 1073033064 | Sarah Stueder | Individual | Optometrist | Great Bend, KS |
Verify this record
Cross-check NPI 1043255243 against the authoritative CMS record: view Mccaulley Optometric PA on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Mccaulley Optometric PA?
What is the NPI number for Mccaulley Optometric PA?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-06-23.