BLAIR TANAKA, INC.
NPI 1942220256
Optometrist in Bolingbrook, IL

Active since July 20, 2006
402 W BOUGHTON RD, SUITE B, BOLINGBROOK, IL 60440(630) 759-5100(630) 759-5101 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Blair Tanaka, Inc. NPPES

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

BLAIR TANAKA, INC. (NPI 1942220256) is a healthcare organization registered as an optometrist in Bolingbrook, Illinois and active in the NPI registry since July 2006. The organization lists Blair Tanaka, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1942220256
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBLAIR TANAKA, INC.
Location Address402 W BOUGHTON RD, SUITE BBolingbrook, IL 60440-1872
Mailing Address402 W Boughton Rd, Suite BBolingbrook, IL 60440-1872 · (630) 759-5100 · Fax (630) 759-5101
Fax(630) 759-5101
Organization SubpartNo
Authorized OfficialBlair TanakaOptometrist · (630) 499-8227
Enumeration DateJuly 20, 2006
Last NPPES UpdateApril 11, 2013
NPI 1942220256 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 IL · 046-008124
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.
402 W BOUGHTON RD, Bolingbrook, IL 60440

Other Identifiers 2

Medicaid046008124IL
Medicare PINIL8026IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

Community/Behavioral Health
402 W BOUGHTON RD, SUITE G
BOLINGBROOK, IL 60440
Optometrist
402 W BOUGHTON RD, SUITE B
BOLINGBROOK, IL 60440
Chiropractor
402 W BOUGHTON RD
BOLINGBROOK, IL 60440
Internal Medicine
402 W BOUGHTON RD, F
BOLINGBROOK, IL 60440
Allergy & Immunology
402 W BOUGHTON RD, SUITE F-1
BOLINGBROOK, IL 60440
Optometrist
402 W BOUGHTON RD, SUITE B
BOLINGBROOK, IL 60440
Pharmacy (Compounding Pharmacy)
402 W BOUGHTON RD, STE C
BOLINGBROOK, IL 60440
Internal Medicine (Allergy & Immunology)
402 W BOUGHTON RD, SUITE F-1
BOLINGBROOK, IL 60440

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 Blair Tanaka, Inc.'s NPI number?

The NPI number for Blair Tanaka, Inc. is 1942220256. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Blair Tanaka, Inc. located?

Blair Tanaka, Inc. is located at 402 W Boughton Rd Suite B, Bolingbrook, IL 60440. The listed phone number is (630) 759-5100.

What is Blair Tanaka, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Blair Tanaka, Inc. was last updated on April 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.