Richard Hom OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

5879TPG Issued in CA

Legal business name

RICHARD HOM OD

Practice address

117 N San Mateo Dr
San Mateo, CA 94401-2708

Phone

(650) 344-2555

Fax

(810) 821-7705

NPI assigned

Jun 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Richard Hom, OD

Title

Owner

Phone

(650) 293-9202

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Richard Hom OD Doing business as

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

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1457765042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012708",
            "telephone_number": "650-344-2555",
            "fax_number": "810-821-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 N SAN MATEO DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944012708",
            "telephone_number": "650-344-2555",
            "fax_number": "810-821-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD HOM OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-293-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5879TPG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0058790 CA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Richard Hom OD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Riccio, LCSW
• Kimberly Dawn Rich, MFT
• Richard a Fagin DDS a Professional Corporation
• Richard B Morgan, MD, Inc
• Richard F. Gravina, M.D. a Medical Corporation
• Richard P. Carr Physical Therapy Inc
• Philip A Richardi, DPT
• Candice Alexandria Richardson-Solomon, LIC. MFT
• Annie Leigh Richardson, RN
• Cortney Beth Richardson, LCSW

• Optometrist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.