Active NPI
Gregory L Tom, O.D.
- Corneal and Contact Management Optometrist
- San Ramon, CA
National Provider Identifier
1124245568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 10427T
- Practice address
- 202 Aspenwood CT # 1
San Ramon, CA 94582-5028 - Phone
- (510) 206-8152
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | 10427T | CA | Primary |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 10427T | CA | |
| Vision Therapy Optometrist | 152WV0400X | 10427T | CA | |
| Pediatric Optometrist | 152WP0200X | 10427T | CA | |
| Sports Vision Optometrist | 152WS0006X | 10427T | CA |
Addresses
Primary practice location
202 Aspenwood CT # 1
San Ramon, CA 94582-5028
Mailing address
202 Aspenwood CT.
San Ramon, CA 94582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3464 Camino Tassajara
Danville, CA 94506-4680
Phone (925) 736-4911
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10427T | CA | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danville Optometric Eye Clinic | Corneal and Contact Management | Current | Accepting new patients |
| Sarbjit Singh Hundal | Current | Accepting new patients | |
| Danville Optometric Group, Inc. | Past | Accepting new patients |
Locations
3464 Camino Tassajara
Danville, CA 94506
Phone (925) 736-4911
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Danville, CA
- NPI 1750902391
-
- Ophthalmology Physician
- Fremont, CA
- NPI 1962413708
-
- Optometrist
- Danville, CA
- NPI 1710151790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1124245568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 ASPENWOOD CT.",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 ASPENWOOD CT # 1",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945825028",
"telephone_number": "510-206-8152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "GREGORY",
"middle_name": "L",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "10427T",
"primary": true
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "10427T",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "CA",
"license": "10427T",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "10427T",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "CA",
"license": "10427T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.