Funk, Thomas Michael

Funk, Thomas Michael is an individual health care provider with primary practice located at 30 N Emerson Ave , Greenwood IN 46143-8895. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Funk, Thomas Michael can be contacted via phone (317) 881-3937.

Contact Information

Primary practice address
30 N Emerson Ave Greenwood IN 46143-8895
Phone: (317) 881-3937
Fax: (317) 887-4008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002077A Indiana

Profile Details

NPI number 1326031568
LBN Legal business name Funk, Thomas Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326031568 NPPES
Indiana Other 154538 COLE VISION
Indiana Other 0005444107 COLE VISION
Indiana Other 000000015215 COLE VISION
Indiana Other 000000214774 COLE VISION

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