Norman Lee Takeda, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

6817T Issued in CA

Practice address

1325 Florin Rd
Sacramento, CA 95831-3618

Phone

(916) 393-7200

Fax

(916) 393-7171

NPI assigned

Mar 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practitioners 1

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

• Brian Edward Wong Park, O.D.

  • Optometrist
  • Sacramento, CA
  • NPI 1164822714
  Medicare reassignment

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1558339077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313618",
            "telephone_number": "916-393-7200",
            "fax_number": "916-393-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313618",
            "telephone_number": "916-393-7200",
            "fax_number": "916-393-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEDA",
        "first_name": "NORMAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-10",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6817T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD004550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Gregory Takamoto, LCSW
• Skylar K Takata
• Stacy Takayama
• Naomi Takayesu, PHARM.D.
• Alex Takeda, OD
• Patricia A Takeda
• Sarah Rae Takekawa, MD
• Greg Stuart Takemoto, M.D.
• Lannette Takemoto
• Greg Steven Takenishi, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.