Individual
DR. TINA M FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1200 N EAST ST, STE. 2, OLNEY, IL 62450-2499
(618) 395-5222
(618) 395-8552
Mailing address
PO BOX 773, CHARLESTON, IL 61920-0773
(618) 395-5222
(618) 395-8552
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.009641
IL
152W00000X
Optometrist
Primary
046009641
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009641
—
IL
01
—
098727
HEALTH ALLIANCE
IL
01
—
669964
HEALTHLINK
IL
01
—
P00174010
RAILROAD MEDICARE
—
Enumeration date
08/18/2006
Last updated
07/25/2025
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