MODO OPTOMETRY (NPI# 1366764862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366764862 |
| Entity Type | Organization |
| Organization Name | MODO OPTOMETRY |
| Practice Address |
4718 Admiralty Way # B Marina Del Rey CA 90292-6905 |
| Practice Telephone | 3103052950 |
| Practice Fax Number | 3104584799 |
| Mailing Telephone | 3103052950 |
| Mailing Fax Number | 3104584799 |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2010-02-24 |
| Authorized Official Name | DR. SHAHROKH DAYYANI (PRESIDENT) |
| Authorized Official Telephone | 3103052950 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | DR. S. DAYYANI, O.D., A PROFESSIONAL OPTOMETRIC CORP. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 10307T | CA | Eye and Vision Services Providers |
| Street Address |
4718 ADMIRALTY WAY # B |
| City | MARINA DEL REY |
| State | CA |
| Zip Code | 90292-6905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972142420 | Katy Kleinberg | Physical Therapist | 4820 Lincoln Blvd., Marina Del Rey, CA 90292 | 2020-01-02 |
| 1568028330 | Kylie Nakamine | Physical Therapist | 4820 Lincoln Bld, Marina Del Rey, CA 90292 | 2019-05-16 |
| 1033627807 | Kareema Nasouf | Social Worker | 578 Washington Blvd. #815, Marina Del Rey, CA 90292 | 2018-01-16 |
| 1861916611 | Jaqueline Berenice Higbee | Behavior Technician | 13428 Maxella Ave Apt 913, Marina Del Rey, CA 90292 | 2017-08-02 |
| 1063942696 | Luis Albert Japngie | Chiropractor | 13816 Bora Bora Way, A-109, Marina Del Rey, CA 90292 | 2017-06-15 |
| 1427509082 | Melissa Dowling | Nurse Anesthetist, Certified Registered | 4750 Lincoln Blvd Apt 477, Marina Del Rey, CA 90292 | 2016-10-19 |
| 1578932950 | Gratto Aquatic Rehab | Clinic/Center | 13160 Mindanao Way Ste. 308, Marina Del Ray, CA 90292 | 2015-09-16 |
| 1285018309 | Reed Chiropractic & Wellness Center A Professional Corporation | Chiropractor | 4207 Del Rey Ave., Marina Del Rey, CA 90292 | 2015-07-18 |
| 1083990725 | James J Kim | Pharmacist | 4009 Lincoln Blvd., Walgreens, Marina Del Rey, CA 90292 | 2011-10-26 |
| 1689957805 | Medbil, LLC | Anesthesiology | 1024 Oxford Ave., Marina Del Rey, CA 90292 | 2011-09-23 |
| Find all providers in zip 90292 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023556198 | Eyes of The Marina Optometry | Optometrist | 13455 Maxella Ave Ste 135, Marina Del Rey, CA 90292-8849 | 2017-02-08 |
| 1255883948 | Modo Optometry A Prof. Optometry Corp | Optometrist | 4718 Admiralty Way, 3/4, Marina Del Rey, CA 90292-6905 | 2016-10-27 |
| 1891117008 | Jennifer Lynn Choi | Optometrist | 4718 3/4 Admiralty Way, Marina Del Rey, CA 90292-6905 | 2014-01-08 |
| 1184900037 | Kobayashi Optometric Inc | Optometrist | 13161 Mindanao Way # D6a, Marina Del Rey, CA 90292-6307 | 2011-10-24 |
| 1275654857 | Paul S Kim | Optometrist | 588 Washington Blvd, Marina Del Rey, CA 90292 | 2007-04-02 |
| 1619036464 | Ernest Nankas | Optometrist | 13161 Mindanao Way, Suite D-6a, Marina Del Rey, CA 90292-6307 | 2006-12-07 |
| 1639636343 | Ani Janszyan | Optometrist | 13455 Maxella Ave Ste 135, Marina Del Rey, CA 90292-8849 | 2019-02-28 |
| 1205380334 | Joanna Vuong | Optometrist | 13463 Washington Blvd, Marina Del Rey, CA 90292-5658 | 2016-08-05 |
| 1093178410 | David Yoo | Optometrist | 13463 Washington Blvd, Marina Del Rey, CA 90292-5658 | 2016-04-02 |
| 1457735391 | Joanne Tang | Optometrist | 13463 Washington Blvd, Marina Del Rey, CA 90292-5658 | 2015-07-09 |
| Find all providers in MARINA DEL REY | ||||
| City | MARINA DEL REY |
| Zip Code | 90292 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.