Sam Rodger Funk, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1956 Issued in KS

Practice address

505 N Franklin Ave Ste B
Colby, KS 67701-2342

Phone

(785) 462-3348

Fax

(785) 462-3599

NPI assigned

Aug 21, 2013

Last updated

Feb 3, 2016By the provider in NPPES

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

Enrolled in KS

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

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: direct@samrfunkodpacolbyks.compulinkdirect.com

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Citizens Medical Center, Inc

  dba Family Center for Health Care

  • Rural Health Clinic/Center
  • Colby, KS
  • NPI 1053406330

  Corporate Director

  CMS ownership

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.

• Sam R. Funk, O.D., P.a.

  • Optometrist
  • Colby, KS
  • NPI 1467568519
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1982037396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N FRANKLIN AVE STE B",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677012342",
            "telephone_number": "785-462-3348",
            "fax_number": "785-462-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N FRANKLIN AVE STE B",
            "city": "COLBY",
            "state": "KS",
            "postal_code": "677012342",
            "telephone_number": "785-462-3348",
            "fax_number": "785-462-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUNK",
        "first_name": "SAM",
        "middle_name": "RODGER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-21",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luetta M Flanagin, ARNP
• Mallory A Forsyth, MD
• James Foster, PTA
• Franz Inc. (Franz Chiropractic)
• Shane M Franz, D.C.
• Kelly Bruce Gabel, D.O.
• Sarah M Gabel, D.O.
• Juanita M Gatz, ARNP
• Benjamin J. George, M.D.
• Nicole Anne Gheen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.