Individual
DR. ALAN Y. TANAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
98-1256 KAAHUMANU ST STE E101, PEARL CITY, HI 96782-3282
(808) 732-1566
Mailing address
PO BOX 22998, HONOLULU, HI 96823-2998
(808) 732-1566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD629
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0266153
HMSA
HI
Enumeration date
04/02/2007
Last updated
07/16/2014
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