Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ken Yoshio Tanisawa, OD

Individual provider Optometrist · NPI 1669579660

Ken Yoshio Tanisawa, OD is an Optometrist in Burlingame, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1419 Burlingame Ave Ste F
Burlingame, CA 94010-4119
Phone: (650) 342-7715
Fax: (650) 342-8182
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 5604TPA (CA)

Record details

NPI number1669579660
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 8, 2007

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