Active NPI
William Y S Tom & Wesley F Tom PTRS
- Optometrist
- Los Angeles, CA
National Provider Identifier
1699987073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9469T
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WOP9469A | Other | CA | MEDICARE LEGACY |
Other names 1
- Tom and Tom Optometrists
National Provider Directory
National Provider DirectoryLocations
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
- William M. Howell M.D. Inc
- William T Long MD Inc a California Professional Medical Corporation
- William T Vicary J D M D a Medical Corporation
- William W Chow MD a Professional Corporation
- William W Temple, M.D.
- Karen Mourad William
- Alyssa Williams Cruz
- John Williams III, M.D.
- Williams Sports Chiropractic, Inc.
- Crislin Janae Williams Womack
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.