Charles Jerome Hom O.D.

NPI 1023104296 - Optometrist - 152W00000X

NPI Details
NPI 1023104296
Gender Male
Enumeration Date 10/05/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1840 SAN MIGUEL DR
SUITE 102
WALNUT CREEK CA, 94596-8602, US
Phone (925) 947-0955
Fax (925) 947-0957
Business Location
1840 SAN MIGUEL DR
SUITE 102
WALNUT CREEK CA, 94596-8602, US
Phone (925) 947-0955
Fax (925) 947-0957
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 8496T
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According to our database, Charles Jerome Hom O.D. NPI is 1023104296, taxonomy code is 152W00000X and license number is 8496T, license state is located at California. Charles Jerome Hom O.D. physically located at 1840 San Miguel Dr, Walnut Creek CA, 94596-8602. NPI Number Charles Jerome Hom O.D. has the Individual type.

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1023104296 NPI number is provided on an as is basis without warranty of any kind. 1023104296 is maintained by the National Plan & Provider Enumeration System. The contents of Charles Jerome Hom O.D. are for informational purposes only.