DR. PAUL EDWARD FUNDERBURK (NPI# 1376571752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376571752 |
| Entity Type | Individual |
| Full Name | DR. PAUL EDWARD FUNDERBURK |
| Credential | O.D |
| Practice Address |
6757 W Newberry Rd Gainesville FL 32605-4312 |
| Practice Telephone | 3523312040 |
| Practice Fax Number | 3523311526 |
| Mailing Telephone | 3523312040 |
| Mailing Fax Number | 3523311526 |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 591711900 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TAX ID | 591711900 | 01 | |
| FL | FLA LIC NUMBER | 1269 | 01 |
| FL | 084871900 | 05 |
| Street Address |
6757 W NEWBERRY RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32605-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457630451 | Jose R Arnao O.d. P.a. | Optometrist | 6757 W Newberry Rd, Gainesville, FL 32605-4312 | 2011-08-08 |
| 1417185364 | Jose Roberto Arnao | Optometrist | 6757 W Newberry Rd, Gainesville, FL 32605-4312 | 2009-06-30 |
| 1639325434 | Super Optical Express | Optometrist | 6757 W Newberry Rd, Gainesville, FL 32605-4312 | 2008-08-12 |
| 1194850388 | John Buckner | Technician/Technologist | 6757 W Newberry Rd, Gainesville, FL 32605 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205435 | Remy Fadel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terr, Gainsville, FL 32605 | 2020-05-05 |
| 1518528652 | Family Restoration Station Counseling Center, LLC | Marriage & Family Therapist | 912 Nw 56th Terr, Suite A, Gainesville, FL 32605 | 2019-06-27 |
| 1568925105 | Ryeisha Hough | Behavior Technician | 1051 Sw 56 Terrace, Gainesville, FL 32605 | 2019-04-10 |
| 1003308040 | Titan Mri LLC | Clinic/Center | 919 Nw 57th St Ste 20, Gainesville, FL 32605 | 2018-06-05 |
| 1922598432 | Angela Maria Fernandez Manovel | Student in an Organized Health Care Education/Training Program | 1147 Nw 64th Terrace, Gainesville, FL 32605 | 2018-05-10 |
| 1396235800 | Aya Marachi | Student in an Organized Health Care Education/Training Program | 6500 W. Newberry Rd., Gainesville, FL 32605 | 2018-05-10 |
| 1053813543 | Jaime L Jasser | Counselor | 2240 Nw 40th Terrace Ste A, Gainesville, FL 32605 | 2018-03-01 |
| 1164932901 | Anesthesia Physician Solutions of North Florida, LLC | Anesthesiology | 6500 W Newberry Road, Gainesville, FL 32605 | 2017-10-06 |
| 1336667930 | Zina Theresse Durr | Adult Companion | 3124 Nw 29th Place, Gainesville, FL 32605 | 2017-09-03 |
| 1982126306 | Crystal Thompson Baumann | Nurse Practitioner | 6440 W Newberry Rd Ste 409, Gainesville, FL 32605 | 2017-07-07 |
| Find all providers in zip 32605 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063057 | West Point Optical Group | Optometrist | 6419 W Newberry Rd Ste B3, Gainesville, FL 32605-6803 | 2020-08-17 |
| 1922622356 | Carl Ritch | Optometrist | 6667 W Newberry Rd, Gainesville, FL 32605-4310 | 2020-06-01 |
| 1821622853 | Catherine Dees | Optometrist | 4950 Nw 44th Ln Apt 105, Gainesville, FL 32606-7609 | 2020-02-28 |
| 1417418815 | National Vision Inc | Optometrist | 3581 Sw Archer Rd Ste 20, Gainesville, FL 32608-2428 | 2019-03-28 |
| 1124519988 | Florida Eye Lab LLC | Optometrist | 3321 Sw Archer Rd, Gainesville, FL 32608-1745 | 2018-05-28 |
| 1346769825 | Dr. Skeete & Associates of North Georgia, P.C. | Optometrist | 150 Pearl Nix Parkway, Suite D3a, Gainesville, GA 30501 | 2017-09-15 |
| 1376072280 | Candace Brown Suggs | Optometrist | 817 Nw 56th Ter Ste B, Gainesville, FL 32605-6401 | 2017-06-06 |
| 1457801854 | Peter T Pham Od, Pllc | Optometrist | 14044 Promenade Commons Street, Gainesville, VA 20155-4072 | 2016-10-10 |
| 1619324308 | Marc Robinson | Optometrist | 2677 Sw 87th Dr, Gainesville, FL 32608 | 2016-05-23 |
| 1649553009 | Truc Minh Pham | Optometrist | 890 Dawsonville Hwy Ste A, Gainesville, GA 30501-2608 | 2011-09-22 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32605 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.