Blair Tanaka, Inc.

NPI #1942220256 in Bolingbrook, Illinois

Provider Information

NPI Number: 1942220256
Entity Type: Organization
Organization Name: Blair Tanaka, Inc.
Primary Specialty: Optometrist
Enumeration Date: Jul 20, 2006
Last Updated: Apr 11, 2013

Practice Location

Address: 402 W BOUGHTON RD
Address 2: SUITE B
City: Bolingbrook
State: Illinois
ZIP Code: 60440-1872
Phone: (630) 759-5100

Authorized Official

Name: BLAIR TANAKA, O.D.
Title: OPTOMETRIST
Phone: (630) 499-8227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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