Stephanie Tom, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

12087T Issued in CA

Practice address

2147 Mowry Ave Ste B5
Fremont, CA 94538-1724

Phone

(510) 742-1004

Fax

(510) 742-1013

NPI assigned

Jun 1, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Optometry

Education

University of Houston - College of Optometry, 1998

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Greta Torossian, Optometric Corp.

  • Optometrist
  • Glendale, CA
  • NPI 1821152273
  Medicare reassignment
• Av Optometry, Inc.

  • Corneal and Contact Management Optometrist
  • Fremont, CA
  • NPI 1043522485
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1235131376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 MOWRY AVE STE B5",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381724",
            "telephone_number": "510-742-1004",
            "fax_number": "510-742-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 MOWRY AVE STE B5",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381724",
            "telephone_number": "510-742-1004",
            "fax_number": "510-742-1013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "STEPHANIE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5599TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12087T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dacoda Rain Todoran, PSYD
• Mun Keong Joshua Toh
• Frances Marie Tom
• Lili Tom, RN, F-NP, LAC
• Peter H. Tom, MD
• Steven P. Tom, D.D.S.
• Wynnyee L. Tom, MD
• Brandy Tompkins
• Teresa Tong-Fong, PHARM.D.
• Ada Tong, PHARMD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.

Verify at the official NPI Registry.