JUSTIN L FUNK

PREMIER EYECARE OF ENID PLLC

Dr JUSTIN L FUNK is a male medical professional, specializing in Optometry. He graduated in 2011.

Contact

PREMIER EYECARE OF ENID PLLC

517 W MAINE AVE
ENID
OK
737015542

Tel: 5802422300

JUSTIN L FUNK Information

Npi 1336427178
Pac Id 2860664174
Professional Enrollment Id I20111011000059
Last Name FUNK
First Name JUSTIN
Middle Name L
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2011
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PREMIER EYECARE OF ENID PLLC
Group Practice Pac Id 5799000634
Number Of Group Practice Members 2
Line 1 Street Address 517 W MAINE AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City ENID
State OK
Zip Code 737015542
Phone Number 5802422300
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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