Taylor G.M. Tom, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

615 Issued in HI

Practice address

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

Phone

(808) 247-3063

Fax

(808) 235-4973

NPI assigned

Nov 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

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

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.

• Tom Eye Care LLC

  • Optometrist
  • Kaneohe, HI
  • NPI 1184041527
  Medicare reassignment NPD Authorized official
• Tom Eyecare LLC

  • Optometrist
  • Kaneohe, HI
  • NPI 1407039217
  NPD (past) Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386892800000",
    "number": "1669548400",
    "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": {
        "last_name": "TOM",
        "first_name": "TAYLOR",
        "middle_name": "G.M.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2013-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56349601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Toni K. Timm, FNP
• Sharon Marie Tisza, MD
• Alana Christina M Todd, MS, RD, LD
• Tom Eye Care LLC
• Tom Eyecare LLC
• Anne Kimi Tamashiro Toyofuku
• Sara Ellen Misako Toyota, O.D.
• Tiana Kenna Tran, PHARMD, RPH
• Maria Trimble, LMHC
• Julie N Trinh, M.D.

• Optometrist in Kaneohe, HI
• Providers in Kaneohe, HI by specialty
• Optometrist in Hawaii

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.