Individual
DR. GLEN A TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1831 S KING ST STE 203, HONOLULU, HI 96826-2131
(808) 955-2015
(808) 949-4915
Mailing address
1831 S KING ST STE 203, HONOLULU, HI 96826-2131
(808) 955-2015
(808) 949-4915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
279
HI
152WC0802X
Corneal and Contact Management Optometrist
279
HI
152WL0500X
Low Vision Rehabilitation Optometrist
279
HI
152WP0200X
Pediatric Optometrist
Primary
279
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02369301
—
HI
Enumeration date
11/01/2006
Last updated
09/11/2025
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