Individual
EVAN TANAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
850 KAMEHAMEHA HWY STE 114, PEARL CITY, HI 96782-2690
(808) 455-3333
Mailing address
MSC 61449 PO BOX 1300 HI, HONOLULU, HI 96807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD-913
HI
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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