NPIMap

Organization Active NPI

Tom Eyecare LLC

  • Optometrist
  • Kaneohe, HI
National Provider Identifier
1407039217
Registry record updated Dec 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
615 Issued in HI
Legal business name
TOM EYECARE LLC
Practice address
45-955 Kamehameha Hwy
Room 104
Kaneohe, HI 96744-3222
Phone
(808) 247-3063
Fax
(808) 235-4973
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Dr. Taylor G.M. Tom, O.D.NPI 1669548400
Title
Owner
Phone
(808) 247-3063

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 102 HI
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 615 HI Primary

Addresses

Primary practice location

45-955 Kamehameha Hwy
Room 104
Kaneohe, HI 96744-3222

Mailing address

45-955 Kamehameha Hwy
Room 104
Kaneohe, HI 96744-3222
Phone (808) 247-3063

Other identifiers 2

IdentifierTypeStateIssuer
05133601MedicaidHI
56349601MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Dr Dewey WK Tom OD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

45-939 Kamehameha Hwy
Ste 203
Kaneohe, HI 96744
Phone (808) 247-3063

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1407039217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-955 KAMEHAMEHA HWY",
            "address_2": "ROOM 104",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443222",
            "telephone_number": "808-247-3063",
            "fax_number": "808-235-4973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-955 KAMEHAMEHA HWY",
            "address_2": "ROOM 104",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443222",
            "telephone_number": "808-247-3063",
            "fax_number": "808-235-4973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOM EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "G.M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-247-3063",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "102",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05133601",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56349601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.