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Organization
RICHARD HOM OD
Active
Organization
RICHARD HOM OD
Active
Other names
Richard Hom OD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD HOM OD (OWNER)
(650) 293-9202
Entity
Organization
Contact information
Practice address
117 N SAN MATEO DR, SAN MATEO, CA 94401-2708
(650) 344-2555
(810) 821-7705
Mailing address
117 N SAN MATEO DR, SAN MATEO, CA 94401-2708
(650) 344-2555
(810) 821-7705
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5879TPG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0058790 CA
—
CA
Enumeration date
06/12/2014
Last updated
11/30/2016
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