Individual
RANDALL F TAKAKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
94-1231 KA UKA BLVD, WAIPAHU, HI 96797-4495
(808) 678-1987
(808) 678-6113
Mailing address
94-1231 KA UKA BLVD, WAIPAHU, HI 96797-4495
(808) 678-1987
(808) 678-6113
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
301
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C0063671
—
HI
Enumeration date
11/21/2006
Last updated
05/07/2018
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