Perry S Hom, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8497T Issued in CA

Practice address

364 E Rowland St
Covina, CA 91723-3154

Phone

(626) 331-6448

Fax

(626) 967-7006

NPI assigned

Oct 1, 2005

Sex

Male

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

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

Specialty

Optometry

Education

Southern California College of Optometry, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olave St Clair Optometry IncGroup PAC ID 5395174361, 4 clinicians

Practice addresses (Care Compare)

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.

• Olave St. Clair Optometry, Inc.

  • Optometrist
  • Covina, CA
  • NPI 1881239861
  Medicare reassignment Care Compare group NPD
• Dr Bernard Levin Dr D H Duncan Dr Perry S Hom an Optometric Corp

  • Optometrist
  • Covina, CA
  • NPI 1689661977
  Medicare reassignment Authorized official
• Harmon Physical Therapy, Inc.

  • Physical Therapy Clinic/Center
  • West Covina, CA
  • NPI 1194759159
  NPD (past)
• Marshall B. Ketchum University/University Eye Center at Los Angeles

  • Optometrist
  • Los Angeles, CA
  • NPI 1558467225
  NPD (past)

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

{
    "created_epoch": "1128124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479859200000",
    "number": "1598752883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "592 S GRAND AVE",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917243467",
            "telephone_number": "626-331-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 E ROWLAND ST",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917233154",
            "telephone_number": "626-331-6448",
            "fax_number": "626-967-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOM",
        "first_name": "PERRY",
        "middle_name": "S",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-01",
        "last_updated": "2016-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8497T",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2327T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Holmes, D.D.S.
• Sol Brenda Holmes
• Tamaryn Holmes
• Natalie Holquin
• Holy Family Hospice Care Inc
• Home Health Partners, Inc
• Home Palliative Care, Inc.
• Homecare Medical
• Nathen Hondoy
• Honeycomb Medical Services, a Med Corp

• Optometrist in Covina, CA
• Providers in Covina, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.