Doctor Name: | GREGORY L TOM |
NPI Number: | 1124245568 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D. |
License Number: | 10427T |
Business Practice Address: | 202 Aspenwood Ct # 1 San Ramon, CA - 945825028 |
Business Phone Number: | 5102068152 |
Business Fax Number: | |
Mailing Address: | 202 Aspenwood Ct., SAN RAMON |
State: | CA |
Postal Code: | 94582 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 08/24/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WL0500X |
License Number: | 10427T |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Low Vision Rehabilitation |
Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |