Individual
DR. TAYLOR G.M. TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
45-955 KAMEHAMEHA HWY, ROOM 104, KANEOHE, HI 96744-3222
(808) 247-3063
(808) 235-4973
Mailing address
45-955 KAMEHAMEHA HWY, ROOM 104, KANEOHE, HI 96744-3222
(808) 247-3063
(808) 235-4973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
615
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56349601
—
HI
Enumeration date
11/24/2006
Last updated
12/13/2013
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