David Walter Tam, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT7588TPL Issued in CA

Practice address

1660 San Pablo Ave
Ste 200
Pinole, CA 94564-2077

Phone

(510) 964-7816

Fax

(510) 964-7831

NPI assigned

Jul 12, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• David W. Tam

  • Optometrist
  • San Pablo, CA
  • NPI 1194902700
  NPD Authorized official
• Hanger Prosthetics & Orthotics West Inc

  • Prosthetic/Orthotic Supplier
  • Pinole, CA
  • NPI 1043384191
  NPD (past)
• Hanger Prosthetics & Orthotics West Inc.

  • Prosthetic/Orthotic Supplier
  • Wailuku, HI
  • NPI 1801695234
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1184649196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 SAN PABLO AVE",
            "address_2": "STE 200",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642077",
            "telephone_number": "510-964-7816",
            "fax_number": "510-964-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SAN PABLO AVE",
            "address_2": "STE 200",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642077",
            "telephone_number": "510-964-7816",
            "fax_number": "510-964-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "DAVID",
        "middle_name": "WALTER",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT7588TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0075880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gordon Bates Swanstrom, D.D.S.
• Larry Alden Sylva, D.D.S.,M.SC.D
• T.Kim Dental PC
• Derlyn Tumakay Tablada, FNP
• Allan S Tam, DDS
• Leah Taylor
• Evelyn Terrones
• Nisha Thapa, FNP- C
• Mark S Thibault, DDS
• Thomas a. Boyce, D.D.S., Inc

• Optometrist in Pinole, CA
• Providers in Pinole, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.