Individual provider Active NPI

Tia Leimomi-Tomiko Horie, O.D.

  • Optometrist
  • Vacaville, CA
National Provider Identifier
1194012617
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14142 Issued in CA
Practice address
2581 Nut Tree Rd Ste C
Vacaville, CA 95687-6915
Phone
(707) 447-1332
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14142 CA Primary

Addresses

Primary practice location

2581 Nut Tree Rd Ste C
Vacaville, CA 95687-6915

Mailing address

2581 Nut Tree Rd
Ste C
Vacaville, CA 95687-6915
Phone (650) 483-7622

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111020000622 CA Practitioner - Optometry 9638341498 Receives reassigned benefits from 1 practitioner
Practice locations: Vacaville, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14142CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Tia L. Horie Optometry Optometrist PastSince Oct 11, 2016 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1194012617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD",
            "address_2": "STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "650-483-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 NUT TREE RD STE C",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956876915",
            "telephone_number": "707-447-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORIE",
        "first_name": "TIA",
        "middle_name": "LEIMOMI-TOMIKO",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vacaville, CA

Sources for this page

Verify at the official NPI Registry.