Organization Active NPI

Frank Tanaka Ocularist Inc

  • Customized Equipment (DME)
  • Longwood, FL
National Provider Identifier
1104026061
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
FRANK TANAKA OCULARIST INC
Practice address
1385 W State Road 434
Suite 207
Longwood, FL 32750-6214
Phone
(407) 834-1990
Fax
(813) 975-0921
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Mr. K. Frank Tanaka
Title
Ocularist
Phone
(813) 978-1142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

1385 W State Road 434
Suite 207
Longwood, FL 32750-6214

Mailing address

3000 E Fletcher Ave
Suite 310
Tampa, FL 33613-4645
Phone (813) 978-1142

Other identifiers 1

IdentifierTypeStateIssuer
M1022OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1104026061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 E FLETCHER AVE",
            "address_2": "SUITE 310",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134645",
            "telephone_number": "813-978-1142",
            "fax_number": "813-975-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 W STATE ROAD 434",
            "address_2": "SUITE 207",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506214",
            "telephone_number": "407-834-1990",
            "fax_number": "813-975-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK TANAKA OCULARIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "K. FRANK",
        "authorized_official_title_or_position": "OCULARIST",
        "authorized_official_telephone_number": "813-978-1142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "M1022",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.