Individual provider Active NPI

Ryan Funai, OD

  • Optometrist
  • Anaheim, CA
National Provider Identifier
1003537598
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35251-TLG Issued in CA
Practice address
936 S Brookhurst St
Anaheim, CA 92804-4305
Phone
(714) 533-2525
NPI assigned
Sep 5, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT35251-TLG CA Primary

Addresses

Primary practice location

936 S Brookhurst St
Anaheim, CA 92804-4305

Mailing address

7702 Whitney Dr
Huntington Beach, CA 92647-3036
Phone (714) 369-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017000136 CA Practitioner - Optometry 3476929449 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David B Rosenblum O D IncGroup PAC ID 1153550264, 5 clinicians

Practice addresses (Care Compare)

11805 S St
Cerritos, CA 90703-6825
Phone (562) 860-4475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35251CAMDClinical Psychologist
OPT35251-TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Nusite Optometry Optometrist CurrentSince Jul 13, 2025 Accepting new patients
Wada Optometry, Inc. Optometrist CurrentSince Sep 8, 2025 Accepting new patients
Walter Yim OD a Professional Corporation Optometrist CurrentSince Sep 21, 2022 Accepting new patients
David B Rosenblum O D Inc Optometrist CurrentSince May 8, 2024 Accepting new patients
Funai Optometry Inc Optometrist Current Accepting new patients
Timothy C. Jankowski, OD, Inc Optometrist PastSince Sep 1, 2022 Accepting new patients
David B. Rosenblum, OD Inc Optometrist Past Accepting new patients

Locations

936 S Brookhurst St
Anaheim, CA 92804
Phone (714) 533-2525

11805 South St
Cerritos, CA 90703
Phone (562) 860-4475

16450 Bolsa Chica St
Huntington Beach, CA 92649
Phone (714) 840-1366

21161 Newport Coast Dr
Newport Beach, CA 92657
Phone (949) 640-4733

21151 Newport Coast Dr
Newport Coast, CA 92657
Phone (949) 640-4733

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1003537598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7702 WHITNEY DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926473036",
            "telephone_number": "714-369-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 S BROOKHURST ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044305",
            "telephone_number": "714-533-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNAI",
        "first_name": "RYAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-05",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35251-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.