Roy Kenji Takemura, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5784T Issued in CA

Practice address

21018 Golden Springs Dr
Walnut, CA 91789-3831

Phone

(909) 594-3600

Fax

(909) 594-4264

NPI assigned

Nov 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Takemura & Hashimoto Optometry, Inc.

  • Optometrist
  • Walnut, CA
  • NPI 1336528132
  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": "1183852800000",
    "number": "1720165301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21018 GOLDEN SPRINGS DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893831",
            "telephone_number": "909-594-3600",
            "fax_number": "909-594-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21018 GOLDEN SPRINGS DR",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917893831",
            "telephone_number": "909-594-3600",
            "fax_number": "909-594-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKEMURA",
        "first_name": "ROY",
        "middle_name": "KENJI",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5784T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summerville 8, LLC
• Supreme Interpreting Inc
• Synergy Acupuncture & Herbs Inc.
• Philong Van Ta, M.D.
• Takemura & Hashimoto Optometry, Inc.
• Jonathan Tam
• Susana T Tan
• Imelda Tan Tanchoco, M.D.
• Carsandra Yvonne Taylor, ATC
• Misgana Teklai

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.