Funk, Gary R.
Funk, Gary R. is an individual health care provider with primary practice located at 7862 El Cajon Blvd , La Mesa CA 91942-6712. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Funk, Gary R. can be contacted via phone (619) 644-6405.Contact Information
Primary practice address
7862 El Cajon Blvd
La Mesa CA 91942-6712
Phone: (619) 644-6405
Fax: (619) 461-5158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT7802T | California |
Profile Details
| NPI number | 1851301964 |
|---|---|
| LBN Legal business name | Funk, Gary R. |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jun 19th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851301964 | NPPES |
| California | MEDICAID | SD0078020 |
Popular Providers
-
Vidal, J Michael
7090 Parkway Dr , La Mesa CA 91942-1596 -
Hixson, Thomas Mark
8007 La Mesa Blvd , La Mesa CA 91941-6434 -
Levy, Phillip
5020 Baltimore Dr Ste B , La Mesa CA 91941-3692 -
Perey, Dave Serafico
8125 Fletcher Pkwy , La Mesa CA 91942-2934 -
Pham, Matt T
8080 Parkway Dr , La Mesa CA 91942-2104 -
Arabo, Kusay Isam
8235 University Ave , La Mesa CA 91941-3820 -
Riggs, Kevin Michael
5500 Grossmont Center Dr Suite 215, La Mesa CA 91942-3016 -
Peters, Jamie Starr
8235 University Ave , La Mesa CA 91942-9320