Gregory Hom, OD, MPH

Primary specialty

OptometristTaxonomy code 152W00000X

License

9694T Issued in CA

Practice address

11230 Sorrento Valley Rd
Suite 115
San Diego, CA 92121-1332

Phone

(858) 535-9835

Fax

(858) 535-1266

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Gregory George Hom

  • Optometrist
  • San Diego, CA
  • NPI 1629402565
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271289600000",
    "number": "1154473916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11230 SORRENTO VALLEY RD",
            "address_2": "SUITE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211332",
            "telephone_number": "858-535-9835",
            "fax_number": "858-535-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11230 SORRENTO VALLEY RD",
            "address_2": "SUITE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211332",
            "telephone_number": "858-535-9835",
            "fax_number": "858-535-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "OD, MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9694T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stewart Craig Holzman, MA
• Charles Henry Holzwarth III
• Audrey Hom
• David Brian Hom, M.D.
• Glenn J. Hom, D.D.S.
• Jimmy Hom, MD, PHD
• Lily Xiu Xia Hom, L.AC.
• Matthew Herbert Hom, M.D.
• Stanton M Hom, D.C.
• Stephen Thomas Hom, PHARM.D.

• Optometrist in San Diego, CA
• Providers in San Diego, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.