DR. PHILIP BURTON FUNDERBURK (OD) – Optometrist, NPI 1093830135

DR. PHILIP BURTON FUNDERBURK (OD) is a healthcare provider. based in Vienna, Virginia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 922 (NC). The NPI Number for DR. PHILIP BURTON FUNDERBURK (OD) is 1093830135

Main info

Male
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. PHILIP BURTON FUNDERBURK (OD)
NPI
1093830135
Phone
(703) 847-8899
Address
1950 OLD GALLOWS RD
Enumeration Date
20 March 2007
Last Update Date
14 November 2017

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
7043725332
Graduation Year
1976 (50 years ago)
PAC ID
7911145206
Group Practice PAC ID
6608019096
Professional Enrollment ID
I20130528000393
Address ID
NC282071129CH1960XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,130 OPTOMETRY in NC

Provider Addresses for DR. PHILIP BURTON FUNDERBURK (OD)

  • 1950 OLD GALLOWS RD

    520

    VIENNA, VA 221823990

    Phone: (703) 847-8899

    Fax: (703) 991-0514

    Type: Mailing

  • 7749 MATTHEWS MINT HILL RD

    MINT HILL, NC 282277598

    Phone: (704) 545-9797

    Fax: (704) 545-3111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $827.

Total Amount is formed as General ($827) + Research ($0) + Ownership ($0) = $827.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($320).

Total Amount

$827

General + Research + Ownership

Payments

9

Total payment records

General Amount

$827

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-05-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130528000393IOptometryNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22182)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608019096View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. PHILIP BURTON FUNDERBURK (OD)'s NPI number?
DR. PHILIP BURTON FUNDERBURK (OD)'s NPI is 1093830135 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to DR. PHILIP BURTON FUNDERBURK (OD)?
You should see DR. PHILIP BURTON FUNDERBURK (OD) as active in CMS-hosted NPPES data.
What expertise is attributed to DR. PHILIP BURTON FUNDERBURK (OD)?
DR. PHILIP BURTON FUNDERBURK (OD)'s specialty line reads Optometrist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. PHILIP BURTON FUNDERBURK (OD)?
Directory geography for DR. PHILIP BURTON FUNDERBURK (OD) centers on Vienna, Virginia.
Does DR. PHILIP BURTON FUNDERBURK (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

8614 WESTWOOD CENTER DR FL 9
NPI: 1790788156
1950 OLD GALLOWS RD STE 520
NPI: 1316941669
Professional Boulevard, Dalton, Whitfield County, Georgia, 30722, United States
NPI: 1679575898
8614 WESTWOOD CENTER DR FL 9
NPI: 1326040536
8614 WESTWOOD CENTER DR FL 9
NPI: 1366446338
West Greenfield Avenue, West Allis, Milwaukee County, Wisconsin, 53222:53228, United States
NPI: 1841294618
123, East 9th Street, Downtown Lockport, Lockport, Will County, Illinois, 60441, United States
NPI: 1649274366
5, Coliseum Avenue, Ward 1, Nashua, Hillsborough County, New Hampshire, 03063, United States
NPI: 1194720193
1950 OLD GALLOWS RD
NPI: 1922003748