Individual
CHARLES JEROME HOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5679 GIBRALTAR DR, PLEASANTON, CA 94588-8547
(925) 463-3937
(925) 947-0957
Mailing address
5679 GIBRALTAR DR, PLEASANTON, CA 94588-8547
(925) 463-3937
(925) 947-0957
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8496T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13514
HEALTH NET
CA
01
—
211106
EYEMED VISION
CA
Enumeration date
10/05/2006
Last updated
05/04/2016
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