Individual provider Active NPI

Tony K Hom, OD

  • Optometrist
  • Springfield, NJ
National Provider Identifier
1346301371
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
27OA00510000 Issued in NJ
Practice address
275 Route 22
Springfield, NJ 07081-3554
Phone
(973) 376-8900
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 27OA00510000 NJ Primary

Addresses

Primary practice location

275 Route 22
Springfield, NJ 07081-3554

Mailing address

24 Ridgewood Drive
Livingston, NJ 07039
Phone (973) 634-4299

Other identifiers 1

IdentifierTypeStateIssuer
0459101MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20060428000485 NJ Practitioner - Optometry 4486664844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ehg NJ Service LLCGroup PAC ID 9335556315, 19 clinicians

Practice addresses (Care Compare)

326 Route 18
East Brunswick, NJ 08816-2109
Phone (732) 238-9200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27OA00510000NJMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ehg NJ Service LLC Optometrist CurrentSince Oct 23, 2023 Accepting new patients
Vision 27, Inc Optometrist PastSince Jan 6, 1992 Accepting new patients
Main Street Clinic, LLC Past Accepting new patients

Locations

326 State Route 18
East Brunswick, NJ 08816
Phone (732) 238-9200

255 Highway 35
Eatontown, NJ 07724
Phone (732) 389-6512

670 US Highway 1 N
Iselin, NJ 08830
Phone (732) 636-1400

179 US Highway 1
Metuchen, NJ 08840

341 E State Rt 4
Paramus, NJ 07652
Phone (201) 489-4500

275 US Highway 22
Springfield, NJ 07081
Phone (973) 376-7900

1278 Hooper Ave
Toms River, NJ 08753
Phone (732) 505-0533

360 US Highway 46
Totowa, NJ 07512
Phone (973) 785-0900

Organizations & group practices 3

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1346301371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 RIDGEWOOD DRIVE",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "07039",
            "telephone_number": "973-634-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 ROUTE 22",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070813554",
            "telephone_number": "973-376-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "TONY",
        "middle_name": "K",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "27OA00510000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.