# MANHATTAN BEACH VISION GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902929946
- **Authorized official:** JOHN WALTER FUNNELL OD (OWNER)
- **Authorized official phone:** (310) 545-4585

## Contact information

- **Practice address:** 946 MANHATTAN BEACH BLVD, MANHATTAN BEACH, CA 90266-5120
- **Practice address phone:** (310) 545-4585
- **Practice address fax:** (310) 546-3240
- **Mailing address:** 946 MANHATTAN BEACH BLVD, MANHATTAN BEACH, CA 90266-5120
- **Mailing address phone:** (310) 545-4585
- **Mailing address fax:** (310) 546-3240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WC0802X | Corneal and Contact Management Optometrist | OPT6029 | CA | Yes |

## Other

- **Enumeration date:** 04/06/2007
- **Last updated:** 08/22/2020