Individual
DR. CHRISTOPHER JONATHAN TOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7361 W LAKE MEAD BLVD STE 104, LAS VEGAS, NV 89128-1040
(702) 877-6779
Mailing address
379 POMPANO CIR, FOSTER CITY, CA 94404-1903
(650) 281-5841
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1023
NV
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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