Daniel R. Taketa

Primary specialty

OptometristTaxonomy code 152W00000X

License

7368TPA Issued in CA

Legal business name

DANIEL R. TAKETA

Practice address

611 E Ocean Ave
Lompoc, CA 93436-6914

Phone

(805) 736-7010

Fax

(805) 736-7589

NPI assigned

Jun 11, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Daniel Taketa, O.D.

Title

Owner

Phone

(805) 736-7010

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244678400000",
    "number": "1063649564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366914",
            "telephone_number": "805-736-7010",
            "fax_number": "805-736-7589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E OCEAN AVE",
            "city": "LOMPOC",
            "state": "CA",
            "postal_code": "934366914",
            "telephone_number": "805-736-7010",
            "fax_number": "805-736-7589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL R. TAKETA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-11",
        "last_updated": "2009-06-11",
        "status": "A",
        "authorized_official_last_name": "TAKETA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-736-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7368TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Lompoc, CA
• Providers in Lompoc, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.