Tina M Funk, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009641 Issued in IL

Practice address

1200 N East St
Ste. 2
Olney, IL 62450-2499

Phone

(618) 395-5222

Fax

(618) 395-8552

NPI assigned

Aug 18, 2006

Last updated

Jul 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Miss Tina M Connour Former name

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Optometry

Education

Indiana University - School of Optometry, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mattoon Vision AssociatesGroup PAC ID 1052320884, 2 clinicians

Allied Vision Source LLCGroup PAC ID 4486964665, 6 clinicians

Christian County VisionaryGroup PAC ID 3971005067, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Allied Vision Source, LLC

  • Optometrist
  • Decatur, IL
  • NPI 1861860363
  Medicare reassignment Care Compare group NPD
• Christian County Visionary

  • Optometrist
  • Pana, IL
  • NPI 1508526864
  Medicare reassignment Care Compare group NPD
• Mattoon Vision Associates

  dba Mattoon Community Eyecare

  • Optometrist
  • Mattoon, IL
  • NPI 1851500524
  Medicare reassignment Care Compare group NPD
• Funkeye LLC

  • Optometrist
  • Olney, IL
  • NPI 1346514031
  Authorized official Same address or phone
• DRS. Sehy and Jones Optometrists, P.C.

  • Optometrist
  • Effingham, IL
  • NPI 1003026204
  NPD
• Center for Sight of Central Illinois SC

  dba Central Illinois Vision Center

  • Ophthalmology Physician
  • Decatur, IL
  • NPI 1093854820

  Optometrist

  NPD (past)

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1730293770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619200773",
            "telephone_number": "618-395-5222",
            "fax_number": "618-395-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N EAST ST",
            "address_2": "STE. 2",
            "city": "OLNEY",
            "state": "IL",
            "postal_code": "624502499",
            "telephone_number": "618-395-5222",
            "fax_number": "618-395-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009641",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009641",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "669964",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00174010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "098727",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "CONNOUR",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "O.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melody Fore
• Geneva R Forys, MHP
• Fritschle Chiropractic
• Nona P Fulk, M.D.
• Fully Alive Counseling PLLC
• Funkeye LLC
• Taylor Gaines, OTR/L
• Kylie L Garbe, APRN, FNP-C
• Jennifer Gibbs
• Gretchen Ginder

• Optometrist in Olney, IL
• Providers in Olney, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.