Dr. John Walter Funnell, O.D.
Optometrist in Manhattan Beach, CA. Individual provider (NPI-1).
NPI number1023045796
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1023045796
- Entity type
- Individual (NPI-1)
- Name
- Dr. John Walter Funnell
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 27, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 06029T | CA | Yes |
Practice location
946 Manhattan Beach BlvdManhattan Beach, CA 90266-5120
Phone 310-545-4585
Mailing address
946 Manhattan Beach BlvdManhattan Beach, CA 90266-5120
Phone 310-545-4585
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All 29 Optometrist providers in Manhattan Beach · All 925 providers in Manhattan Beach
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