Martin R Funk OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

1351-3 Issued in KS

Legal business name

MARTIN R FUNK OD PA

Practice address

1 E 2ND St
Chanute, KS 66720-2460

Phone

(620) 431-2300

NPI assigned

Nov 15, 2006

Last updated

Feb 22, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin R Funk, O.D.NPI 1740275452

Title

President

Phone

(620) 431-2300

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martin R Funk, O.D.

  • Optometrist
  • Chanute, KS
  • NPI 1740275452
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1770656316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E 2ND ST",
            "address_2": "PO BOX 497",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667202460",
            "telephone_number": "620-431-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 E 2ND ST",
            "city": "CHANUTE",
            "state": "KS",
            "postal_code": "667202460",
            "telephone_number": "620-431-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN R FUNK OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "FUNK",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "620-431-2300",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1351-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100219180A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Janae Litzel, OT/L, COTA/L
• Aaron John Liudahl, P.T.
• Troy Lucke, D.C.
• Stephanie Aaliyah Manuz
• Ashley Marple, LMSW
• Hayden Martinez
• Peggy L Massoth, LMSW
• Sara Massoth
• Laura Mathis, PHARM D
• Margaret Ann Matlock, APRN-C

• Optometrist in Chanute, KS
• Providers in Chanute, KS by specialty
• Optometrist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.