Tom, Taylor G.M.

Tom, Taylor G.M. is an sole proprietor health care provider with primary practice located at 45-955 Kamehameha Hwy Room 104, Kaneohe HI 96744-3222. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Tom, Taylor G.M. can be contacted via phone (808) 247-3063.

Contact Information

Primary practice address
45-955 Kamehameha Hwy Room 104 Kaneohe HI 96744-3222
Fax: (808) 235-4973
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 615 Hawaii

Profile Details

NPI number 1669548400
LBN Legal business name Tom, Taylor G.M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 24th, 2006
Last updated Dec 13th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669548400 NPPES
Hawaii MEDICAID 56349601

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