NPIMap

Organization Active NPI

DRS. Funderburk and Price, OD

  • Optometrist
  • Mint Hill, NC
National Provider Identifier
1700050366
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
922 Issued in NC
Legal business name
DRS. FUNDERBURK AND PRICE, OD
Practice address
7749 Matthews Mint Hill Rd
Mint Hill, NC 28227-7598
Phone
(704) 545-9797
Fax
(704) 545-3111
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Dr. Philip B Funderburk, ODNPI 1093830135
Title
Owner
Phone
(704) 545-9797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 922 NC Primary

Addresses

Primary practice location

7749 Matthews Mint Hill Rd
Mint Hill, NC 28227-7598

Mailing address

PO Box 23299
Mint Hill, NC 28227-0275
Phone (704) 545-9797

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1700050366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23299",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282270275",
            "telephone_number": "704-545-9797",
            "fax_number": "704-545-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7749 MATTHEWS MINT HILL RD",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282277598",
            "telephone_number": "704-545-9797",
            "fax_number": "704-545-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. FUNDERBURK AND PRICE, OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "FUNDERBURK",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-545-9797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mint Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.