Modo Optometry A Professional Optometry Corp | |
4718 Admiralty Way, 3/4, Marina Del Rey, CA 90292-6905 | |
(310) 305-2950 | |
Not Available |
Full Name | Modo Optometry A Professional Optometry Corp |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 4718 Admiralty Way, Marina Del Rey, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255883948 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 10307 (California) | Primary |
Provider Name | Shahrokh Dayyani |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194893008 PECOS PAC ID: 8921254939 Enrollment ID: I20120807000717 |
Provider Name | Kayla Emiko Ueda |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811404486 PECOS PAC ID: 4880921568 Enrollment ID: I20190805001372 |
Provider Name | Elena Huber |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922523315 PECOS PAC ID: 1759635733 Enrollment ID: I20220512001836 |
Mailing Address | Practice Location Address |
---|---|
Modo Optometry A Professional Optometry Corp 4718 Admiralty Way, Marina Del Rey, CA 90292-6905 Ph: () - | Modo Optometry A Professional Optometry Corp 4718 Admiralty Way, 3/4, Marina Del Rey, CA 90292-6905 Ph: (310) 305-2950 |
Eyes Of The Marina Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13455 Maxella Ave Ste 135, Marina Del Rey, CA 90292 Phone: 310-306-2020 | |
Dr. Domenico Rinaldi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4266 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-4595 Fax: 310-823-4598 | |
David Yoo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13463 Washington Blvd, Marina Del Rey, CA 90292 Phone: 310-821-8382 | |
Bliss Optometry A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13400 Washington Blvd Unit 111, Marina Del Rey, CA 90292 Phone: 626-328-5741 | |
Del Rey Optometry At The Marina Optometrist Medicare: Medicare Enrolled Practice Location: 13161 Mindanao Way # D6a, Marina Del Rey, CA 90292 Phone: 310-823-4595 | |
Marina Optometry A Professional Corporation Optometrist Medicare: Medicare Enrolled Practice Location: 588 Washington Blvd, Marina Del Rey, CA 90292 Phone: 310-577-6608 |