DR. RANDY TAKETA O.D.
NPI 1881679587
Optometrist in Santa Monica, CA

Q: What is Randy Taketa's NPI number?

The NPI number for Randy Taketa is 1881679587. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Q: What is Randy Taketa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Randy Taketa was last updated on March 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 14, 2005PECOS EnrolledAccepts Medicare Assignment

2901 WILSHIRE BLVD, SUITE 100, SANTA MONICA, CA 90403(310) 829-0055(310) 453-2971 Get Directions Write a Review

NPPES record last updated: March 17, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Dr. Randy Taketa O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDY TAKETA O.D. (NPI 1881679587) is an individual optometrist in Santa Monica, California, licensed in California (OPT9103TPA) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Illinois College Of Optometry At Chicago (1988).

NPPES Registry Identity

NPI1881679587

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RANDY TAKETACredential: O.D.

Location Address2901 WILSHIRE BLVD, SUITE 100Santa Monica, CA 90403-4901

Mailing Address2901 Wilshire Blvd, Suite 100Santa Monica, CA 90403-4901 · (310) 829-0055 · Fax (310) 453-2971

Phone(310) 829-0055

Fax(310) 453-2971

Sole ProprietorNo

Medical School CMSIllinois College Of Optometry At ChicagoGraduated 1988

Enumeration DateDecember 14, 2005

Last NPPES UpdateMarch 17, 2011

✔ NPI 1881679587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in CA · OPT9103TPA

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

2901 WILSHIRE BLVD, Santa Monica, CA 90403

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Other Identifiers 3

Medicare PINWOP9103ACA

Medicare NSC0283540001CA

Medicare UPINT95719CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Randy Taketa O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244381861

PECOS Enrollment IDI20090622000491

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

156 services155 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

28 services27 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

22 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. YAOFENG HU O.M.D. L. AC.

Acupuncturist

2901 WILSHIRE BLVD, SUITE 233
SANTA MONICA, CA 90403

Los Angeles County (310) 582-8255

CLARISA MARTINEZ DPT

Physical Therapist

2901 WILSHIRE BLVD, STE 440
SANTA MONICA, CA 90403

Los Angeles County (310) 315-9711

INNER IMAGES, INC.

Radiologic Technologist

2901 WILSHIRE BLVD, SUITE 319
SANTA MONICA, CA 90403

Los Angeles County (310) 586-3000

KERN & ASSOC PT

Physical Therapist

2901 WILSHIRE BLVD, 440
SANTA MONICA, CA 90403

Los Angeles County (310) 315-9711

KATHLEEN E PONCHER L.AC

Acupuncturist

2901 WILSHIRE BLVD, SUITE 233
SANTA MONICA, CA 90403

Los Angeles County (310) 433-8500

DR. TRANG VAN NGUYEN O.D.

Optometrist

2901 WILSHIRE BLVD, SUITE 100
SANTA MONICA, CA 90403

Los Angeles County (310) 449-0066

JENNIFER HALVAKSZ PT, DPT, OCS

Physical Therapist

2901 WILSHIRE BLVD, SUITE 440
SANTA MONICA, CA 90403

Los Angeles County (310) 315-9711

SILVER OD PC & TAKETA OD PC A PARTNERSHIP OF OPT CORP

Optometrist

2901 WILSHIRE BLVD, SUITE 100
SANTA MONICA, CA 90403

Los Angeles County (310) 829-0055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randy Taketa's NPI number?

The NPI number for Randy Taketa is 1881679587. It was assigned to this individual provider in the NPPES registry on December 14, 2005.

Where is Randy Taketa located?

Randy Taketa practices at 2901 Wilshire Blvd Suite 100, Santa Monica, CA 90403. The listed phone number is (310) 829-0055.

What is Randy Taketa's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Randy Taketa enrolled in Medicare?

Yes. Randy Taketa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Randy Taketa accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list Randy Taketa as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Randy Taketa was last updated on March 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.