Individual provider Active NPI

Randall F Takaki, O.D.

  • Optometrist
  • Waipahu, HI
National Provider Identifier
1730254277
Registry record updated May 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
301 Issued in HI
Practice address
94-1231 Ka Uka Blvd
Waipahu, HI 96797-4495
Phone
(808) 678-1987
Fax
(808) 678-6113
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 301 HI Primary

Addresses

Primary practice location

94-1231 Ka Uka Blvd
Waipahu, HI 96797-4495

Mailing address

94-1231 Ka Uka Blvd
Waipahu, HI 96797-4495
Phone (808) 678-1987

Other identifiers 1

IdentifierTypeStateIssuer
00C0063671MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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

Enrollment IDStateProvider typePAC IDDetails
I20040420000650 HI Practitioner - Optometry 3072404771 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS. Kubo and Sato, Optometrists, Inc.Group PAC ID 8022909720, 5 clinicians

Practice addresses (Care Compare)

94 -1231 Ka Uka Blvd
Waipahu, HI 96797-4495
Phone (808) 678-1987

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS Kubo and Sato Optometrists Inc Optometrist CurrentSince Jun 12, 2002 Accepting new patients
DRS Kuwabara Ishihara Ishimoto & Arakaki Optometrists Inc Optometrist Past Accepting new patients

Locations

525 Alakawa St
Honolulu, HI 96817
Phone (808) 526-6102

333 Keahole St
Bldg A
Honolulu, HI 96825
Phone (808) 394-3318

94-1231 Ka Uka Blvd
Waipahu, HI 96797
Phone (808) 678-1987

Interoperability endpoints

  • Direct secure messaging: rtakaki@ktiwaipio.eyefinity-direct.com
  • Direct secure messaging: rtakaki@ktihawaiikai.eyefinity-direct.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525651200000",
    "number": "1730254277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-1231 KA UKA BLVD",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974495",
            "telephone_number": "808-678-1987",
            "fax_number": "808-678-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-1231 KA UKA BLVD",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974495",
            "telephone_number": "808-678-1987",
            "fax_number": "808-678-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKAKI",
        "first_name": "RANDALL",
        "middle_name": "F",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2018-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C0063671",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

Verify at the official NPI Registry.