Active NPI
Yuko Takeda, O.D.
- Optometrist
- Honolulu, HI
National Provider Identifier
1114048840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OD404
- Practice address
- 1350 Ala Moana Blvd
#3008
Honolulu, HI 96814-4216 - Phone
- (808) 964-1664
- Fax
- (808) 944-0090
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OD404 | HI | Primary |
Addresses
Primary practice location
1350 Ala Moana Blvd
#3008
Honolulu, HI 96814-4216
Mailing address
1350 Ala Moana Blvd
#3008
Honolulu, HI 96814-4216
Phone (808) 964-1664
Other names 1
- Dr. Yuko Takeda
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OD404 | HI | MD | Optometrist |
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- HI PPO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1114048840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 ALA MOANA BLVD",
"address_2": "#3008",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144216",
"telephone_number": "808-964-1664",
"fax_number": "808-356-1601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 ALA MOANA BLVD",
"address_2": "#3008",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968144216",
"telephone_number": "808-964-1664",
"fax_number": "808-944-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAKEDA",
"first_name": "YUKO",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "HI",
"license": "OD404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YUKO",
"last_name": "TAKEDA",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.