MEDICARE: DR. DEWEY W.K. TOM O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	102	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588740997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DEWEY W.K. TOM O.D.

Provider Business Mailing Address
First Line	:	45-955 KAMEHAMEHA HWY
Second Line	:	ROOM 104
City	:	KANEOHE
State	:	HI
Zip	:	96744-3222
Country	:	US
Telephone Number	:	808-247-3063
Fax Number	:	808-235-4973

Provider Business Practice Location Address
First Line	:	45-955 KAMEHAMEHA HWY
Second Line	:	ROOM 104
City	:	KANEOHE
State	:	HI
Zip	:	96744-3222
Country	:	US
Telephone Number	:	808-247-3063
Fax Number	:	808-235-4973

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2006
Last Update Date	:	12/21/2025

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Directions to “ DR. DEWEY W.K. TOM O.D.” Practice Location

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