Alan Y. Tanaka, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD629 Issued in HI

Practice address

98-1256 Kaahumanu St Ste E101
Pearl City, HI 96782-3282

Phone

(808) 732-1566

NPI assigned

Apr 2, 2007

Last updated

Jul 16, 2014By the provider in NPPES

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

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alan.tanaka.1@15051.direct.athenahealth.com

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.

• Waikiki Health

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1679646509
  Medicare reassignment NPD
• Alan Y. Tanaka, O.D., LLC

  • Optometrist
  • Pearl City, HI
  • NPI 1104209253
  Authorized official Same address or phone
• Waikiki Health

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1528359791
  NPD
• Inspired Vision, LLC

  • Optometrist
  • Honolulu, HI
  • NPI 1851960843
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1902927718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22998",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968232998",
            "telephone_number": "808-732-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1256 KAAHUMANU ST STE E101",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823282",
            "telephone_number": "808-732-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "ALAN",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "00A0266153",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne C. Takara, O.D.
• Robbyn K Takeuchi, LCSW
• Arthur Talaeai
• Talk Story Counseling LLC
• Cynthia C Tamura, M.S., CCC-SLP
• Evan Tanaka, OD
• Tammy A. Tanaka, LMT
• Tammy Wai-Sum Tang, RN
• Lance M. Taniguchi, M.D.
• Elsie Kimiko Tarumoto, M.S., CCC-SLP

• Optometrist in Pearl City, HI
• Providers in Pearl City, HI by specialty
• Optometrist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.