Active NPI
David Tom, M.D.
- Ophthalmology Physician
- Hamden, CT
National Provider Identifier
1437184298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036088
- Practice address
- 2200 Whitney Ave
Suite 300
Hamden, CT 06518-3691 - Phone
- (203) 288-2020
- Fax
- (203) 288-2470
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036088 | CT | Primary |
| Ophthalmology Physician | 207W00000X | 200507-1 | NY |
Addresses
Primary practice location
2200 Whitney Ave
Suite 300
Hamden, CT 06518-3691
Mailing address
2200 Whitney Ave
Suite 300
Hamden, CT 06518-3691
Phone (203) 288-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110302000087 | CT | Practitioner - Ophthalmology | 1759562382 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200507-1 | NY | MD | Ophthalmology Physician |
Interoperability endpoints
- dtom@refocus.intellechartdirect.net
- dtom@retinamd.intellechartdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308009600000",
"number": "1437184298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 300",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183691",
"telephone_number": "203-288-2020",
"fax_number": "203-288-2470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 WHITNEY AVE",
"address_2": "SUITE 300",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183691",
"telephone_number": "203-288-2020",
"fax_number": "203-288-2470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2011-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CT",
"license": "036088",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "200507-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamden, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.