Organization Active NPI

William Y S Tom & Wesley F Tom PTRS

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1699987073
Registry record updated Jul 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
9469T Issued in CA
Legal business name
WILLIAM Y S TOM & WESLEY F TOM PTRS
Practice address
942 N Broadway
Suite 104
Los Angeles, CA 90012-1707
Phone
(213) 680-9393
Fax
(213) 680-2921
NPI assigned
May 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2012

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

Authorized official

Name
Dr. Wesley Fong Tom, OD
Title
Doctor of Optometry
Phone
(213) 680-9393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 9469T CA Primary

Addresses

Primary practice location

942 N Broadway
Suite 104
Los Angeles, CA 90012-1707

Mailing address

942 N Broadway
Suite 104
Los Angeles, CA 90012-1707
Phone (213) 680-9393

Other identifiers 1

IdentifierTypeStateIssuer
WOP9469AOtherCAMEDICARE LEGACY

Other names 1

  • Tom and Tom Optometrists Other name

National Provider Directory

National Provider Directory

Locations

942 N Broadway
Ste 104
Los Angeles, CA 90012
Phone (213) 680-9393

NPI Registry JSON

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

{
    "created_epoch": "1178323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1699987073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 N BROADWAY",
            "address_2": "SUITE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121707",
            "telephone_number": "213-680-9393",
            "fax_number": "213-680-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 N BROADWAY",
            "address_2": "SUITE 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900121707",
            "telephone_number": "213-680-9393",
            "fax_number": "213-680-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM Y S TOM & WESLEY F TOM PTRS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-05",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "TOM",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "FONG",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "213-680-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9469T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LEGACY",
            "identifier": "WOP9469A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tom and Tom Optometrists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.