Evan Tanaka, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD-913 Issued in HI

Practice address

850 Kamehameha Hwy Ste 114
Pearl City, HI 96782-2690

Phone

(808) 455-3333

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

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

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

Specialty

Optometry

Education

Southern California College of Optometry, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nelson O. Yoshioka, Jr., O.D., Inc.Group PAC ID 9638069891, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nelson O. Yoshioka, Jr., O.D., Inc.

  • Optometrist
  • Pearl City, HI
  • NPI 1811024094
  Medicare reassignment Care Compare group NPD
• Nelson O Yoshioka Jr OD Inc

  • Optometrist
  • Honolulu, HI
  • NPI 1730216938
  NPD (past)

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1952963860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 61449 PO BOX 1300 HI",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 KAMEHAMEHA HWY STE 114",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822690",
            "telephone_number": "808-455-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1123 11th Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968162433",
            "country_code": "US",
            "telephone_number": "808-734-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "EVAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 1, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.