Active NPI
Richard Tom, O.D.
- Optometrist
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9372T
- Practice address
- 874C Blossom Hill Rd
San Jose, CA 95123-2725 - Phone
- (408) 226-8666
- Fax
- (408) 226-2382
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9372T | CA | Primary |
Addresses
Primary practice location
874C Blossom Hill Rd
San Jose, CA 95123-2725
Mailing address
6500 Hirabayashi Dr
San Jose, CA 95120-4500
Phone (408) 226-8666
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SD0093720 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of California - School of Optometry, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Santa Clara
Practice addresses (Care Compare)
1144 S 2ND St
San Jose, CA 95112-5974
Phone (408) 961-4700
1887 Monterey Hwy
Suite 205
San Jose, CA 95112-6192
Phone (408) 961-4040
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 61 of 100
- Quality
- 59.41
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 71.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9372T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
Interoperability endpoints
- rtom6694@santaclaravalley.direct-ci.net
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1629301346
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Federally Qualified Health Center (FQHC)
- San Jose, CA
- NPI 1043354020
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Federally Qualified Health Center (FQHC)
- Gilroy, CA
- NPI 1922093533
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1851352983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 HIRABAYASHI DR",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951204500",
"telephone_number": "408-226-8666",
"fax_number": "408-226-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874C BLOSSOM HILL RD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951232725",
"telephone_number": "408-226-8666",
"fax_number": "408-226-2382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9372T",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SD0093720",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.