John Walter Funnell, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

06029T Issued in CA

Practice address

946 Manhattan Beach Blvd
Manhattan Beach, CA 90266-5120

Phone

(310) 545-4585

NPI assigned

Jun 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: drf@manhattanvision.eyeclinicdirect.net

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1023045796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 MANHATTAN BEACH BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665120",
            "telephone_number": "310-545-4585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 MANHATTAN BEACH BLVD",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665120",
            "telephone_number": "310-545-4585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNNELL",
        "first_name": "JOHN",
        "middle_name": "WALTER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "06029T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Lisa Francois, PSYD
• Carol Frey, M.D.
• Jon Robert Friedman, MD
• Mickey Y Fukunaga, PHARMD
• Robyn Wing-Bik Fung, DMD
• G and a McIver PC
• Sophia Galano, LCSW
• Cary William Gallardo, M.D.
• Alberto Galvan, DPT, ATC, CSCS
• Malkia Janae' Garbutt-Adams

• Optometrist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.