Glen A Tanaka, OD

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

279 Issued in HI

Practice address

1831 S King St Ste 203
Honolulu, HI 96826-2131

Phone

(808) 955-2015

Fax

(808) 949-4915

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaa Eye Clinic, LLC

  • Optometrist
  • Honolulu, HI
  • NPI 1558402727
  NPD (past) Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1639257108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 S KING ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262131",
            "telephone_number": "808-955-2015",
            "fax_number": "808-949-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 S KING ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262131",
            "telephone_number": "808-955-2015",
            "fax_number": "808-949-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "GLEN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "279",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "HI",
            "license": "279",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "HI",
            "license": "279",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "HI",
            "license": "279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02369301",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad C.K. Tanaka, PA
• Chiemi Tanaka, PH.D., CCC-A
• Davis Tanaka, PHARMD
• Elizabeth Tanaka, PT, DPT, CERT. MDT
• Gina Lynn T Tanaka
• Heather Tanaka
• Jason M Tanaka, DDS
• Kristie Hiromi Tanaka, DPT
• Len Yukinori Tanaka, M.D.
• Mika Tanaka

• Pediatric Optometrist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Pediatric Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.