Super Optical Express
NPI 1639325434ActiveOrganization· Optometrist· Gainesville, FL
Optometrist in Gainesville, Florida, registered in NPPES in August 2008. The authorized official on file is Paul E. Funderburk, O.D., Vice President.
Overview
| NPI | 1639325434 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2008 |
| Last updated in NPPES | Oct 26, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 796 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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