Nicole Tracy Hom, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

14417 Issued in CA

Practice address

3870 S Maryland Pkwy Ste B
Las Vegas, NV 89119-7573

Phone

(725) 867-6595

NPI assigned

Jul 29, 2012

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, NV2 enrollments

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 2

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.

• John Chan O.D. PLLC

  • Optometrist
  • Henderson, NV
  • NPI 1588295331
  Medicare reassignment NPD
• Kevin Tan, MD and Productions, Inc

  • Ophthalmology Physician
  • San Francisco, CA
  • NPI 1659752319
  Medicare reassignment NPD
• City Eyes Optometry, Nicole Hom O.D., PLLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1962235937
  NPD Authorized official

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

{
    "created_epoch": "1343520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1235485152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 HACKNEY CT",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948033821",
            "telephone_number": "510-396-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 S MARYLAND PKWY STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197573",
            "telephone_number": "725-867-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9975 S Eastern Ave",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891837949",
            "country_code": "US",
            "telephone_number": "702-341-7254",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Post St Ste 1005",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941084913",
            "country_code": "US",
            "telephone_number": "415-982-2020",
            "fax_number": "415-982-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOM",
        "first_name": "NICOLE",
        "middle_name": "TRACY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14417",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "743",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holy Trinity Home Health, LLC.
• Joyce Ann Holys, BS, LADC
• Kirsty Holzer
• Karen Hom, D.D.S.
• Loriann Jeanette Hom
• Vicki Hom, MD
• Afiza Homam
• Edwin Homansky, MD
• Homayon Iraninezhad DO PC
• Home and Health Store

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.