Individual provider Active NPI

Megan Elizabeth Funkhouser, OD

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1497314322
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9699 Issued in TX
Practice address
8403 Floyd Curl Dr RM 1.110
San Antonio, TX 78229-3904
Phone
(210) 567-8600
Fax
(210) 567-8609
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 9699 TX Primary

Addresses

Primary practice location

8403 Floyd Curl Dr RM 1.110
San Antonio, TX 78229-3904

Mailing address

8403 Floyd Curl Dr RM 1.110
San Antonio, TX 78229-3904
Phone (210) 567-8600

Other identifiers 2

IdentifierTypeStateIssuer
400979703OtherTXCSHCN
400979702MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190806003665 TX Practitioner - Optometry 9830426337 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Texas Health Science Center at San AntonioGroup PAC ID 0042128548, 1,290 clinicians

Practice addresses (Care Compare)

8403 Floyd Curl Dr
San Antonio, TX 78229-3904
Phone (210) 450-9000

Hospital & facility affiliations

  • Ut Health San Antonio Multispecialty & Research Ho Hospital, San Antonio, TX, CCN 670335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9699TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 2, 2020 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Dec 13, 2020 Accepting new patients
University of Houston CurrentSince Jul 2, 2019 Accepting new patients
University of Houston System Optometrist CurrentSince Jul 2, 2019 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 2, 2020 Accepting new patients
University of Texas Health Science Center at San Antonio PastSince Dec 13, 2020 Accepting new patients

Locations

190 Heights Blvd
Houston, TX 77007
Phone (713) 527-8480

4401 Martin Luther King Blvd
Houston, TX 77204
Phone (713) 743-1921

4901 Calhoun Rd
Houston, TX 77204
Phone (713) 743-1921

8403 Floyd Curl Dr
Rm 1110
San Antonio, TX 78229
Phone (210) 567-8600

8403 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 567-8600

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

310 Eads Ave
San Antonio, TX 78210
Phone (210) 450-9400

Interoperability endpoints

  • Direct secure messaging: mfunkhouser31550@direct.utmsa.com

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1497314322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8403 FLOYD CURL DR RM 1.110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293904",
            "telephone_number": "210-567-8600",
            "fax_number": "210-567-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8403 FLOYD CURL DR RM 1.110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293904",
            "telephone_number": "210-567-8600",
            "fax_number": "210-567-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNKHOUSER",
        "first_name": "MEGAN",
        "middle_name": "ELIZABETH",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "9699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "400979703",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400979702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.