Individual provider Active NPI

Kathleen Rose Hum, OD

  • Optometrist
  • San Francisco, CA
National Provider Identifier
1730204496
Registry record updated Oct 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8253T Issued in CA
Practice address
500 Sutter St
Suite 508
San Francisco, CA 94102-1107
Phone
(415) 362-7707
Fax
(415) 362-9663
NPI assigned
Mar 20, 2007
Last updated
Oct 25, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8253T CA Primary

Addresses

Primary practice location

500 Sutter St
Suite 508
San Francisco, CA 94102-1107

Mailing address

500 Sutter St
508
San Francisco, CA 94102-1107
Phone (415) 362-7707

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140311001509 CA Order and Referring Only - OptometryPractitioner - Optometry 5092945154

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8253TCAMDOptometrist
8253CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kathleen Hum OD, a California Professional Corporation Optometrist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382659200000",
    "number": "1730204496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUTTER ST",
            "address_2": "508",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021107",
            "telephone_number": "415-362-7707",
            "fax_number": "415-362-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUTTER ST",
            "address_2": "SUITE 508",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941021107",
            "telephone_number": "415-362-7707",
            "fax_number": "415-362-9663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUM",
        "first_name": "KATHLEEN",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8253T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.