| Sam R. Funk, O.d., P.a. | |
|
505 N Franklin Ave Ste B, Colby, KS 67701-2342 | |
| (785) 462-3348 | |
| (785) 462-3599 |
| Full Name | Sam R. Funk, O.d., P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 505 N Franklin Ave Ste B, Colby, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467568519 | NPI | - | NPPES |
| 12589230 | Other | CAQH | |
| 201083380A | Medicaid | KS | |
| 100090170A | Medicaid | KS | |
| 656990 | Other | KS | FIRST GUARD |
| 005149 | Other | KS | BC/BS |
| 001269 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 11113 (Kansas) | Primary |
| Provider Name | Larry L Washburn |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265629729 PECOS PAC ID: 0648226027 Enrollment ID: I20050329000783 |
| Provider Name | Sam R Funk |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982037396 PECOS PAC ID: 1456587740 Enrollment ID: I20131114001130 |
| Mailing Address | Practice Location Address |
|---|---|
| Sam R. Funk, O.d., P.a. 505 N Franklin Ave Ste B, Colby, KS 67701-2342 Ph: (785) 462-3348 | Sam R. Funk, O.d., P.a. 505 N Franklin Ave Ste B, Colby, KS 67701-2342 Ph: (785) 462-3348 |
Dr. Jordan D Hagler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1005 S Range Ave, Ste 100, Colby, KS 67701 Phone: 785-462-8231 Fax: 785-462-2307 | |
Larry L Washburn, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 505 N Franklin Ave, Ste B, Colby, KS 67701 Phone: 785-462-3348 Fax: 785-462-3599 | |
Dr. Andrea Lynn Hagler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1005 S Range Ave, Ste 100, Colby, KS 67701 Phone: 785-462-8231 Fax: 785-462-2307 | |
Dr. Jeffrey B Morrison, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1005 S Range Ave, Ste 100, Colby, KS 67701 Phone: 785-462-8231 Fax: 785-462-2307 | |
Dr. Sam Rodger Funk, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 505 N Franklin Ave Ste B, Colby, KS 67701 Phone: 785-462-3348 Fax: 785-462-3599 |