Organization Active NPI

Alan Y. Tanaka, O.D., LLC

  • Optometrist
  • Pearl City, HI
National Provider Identifier
1104209253
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD629 Issued in HI
Legal business name
ALAN Y. TANAKA, O.D., LLC
Practice address
98-1256 Kaahumanu St
Ste E101
Pearl City, HI 96782-3282
Phone
(808) 732-1566
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. Alan Y Tanaka
Title
Owner
Phone
(808) 732-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD629 HI Primary

Addresses

Primary practice location

98-1256 Kaahumanu St
Ste E101
Pearl City, HI 96782-3282

Mailing address

PO Box 22998
Honolulu, HI 96823-2998

National Provider Directory

National Provider Directory

Locations

98-1256 Kaahumanu St
Ste E101
Pearl City, HI 96782
Phone (808) 732-1566

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1104209253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22998",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968232998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1256 KAAHUMANU ST",
            "address_2": "STE E101",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823282",
            "telephone_number": "808-732-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN Y. TANAKA, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-732-1566",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.