Kobayashi Optometric Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

9444T Issued in CA

Legal business name

KOBAYASHI OPTOMETRIC INC

Doing business as

Del Rey Optometry at the Marina

Practice address

13161 Mindanao Way # D6A
Marina del Rey, CA 90292-6307

Phone

(310) 823-4595

NPI assigned

Oct 24, 2011

Last updated

Feb 5, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kristine Kobayashi, ODNPI 1922095439

Title

President

Phone

(310) 823-4595

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Del Rey Optometry at the Marina Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristine Michi Kobayashi, O.D.

  • Optometrist
  • Whittier, CA
  • NPI 1922095439
  Medicare reassignment Care Compare group NPD Authorized official
• Domenico Rinaldi, OD

  • Optometrist
  • Marina del Rey, CA
  • NPI 1063978542
  Medicare reassignment Care Compare group NPD
• Mimi Anhtu Phan, O.D.

  • Optometrist
  • Huntington Beach, CA
  • NPI 1598187924
  Medicare reassignment NPD
• Peyton Glass, OD

  • Optometrist
  • Beverly Hills, CA
  • NPI 1356878565
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423094400000",
    "number": "1184900037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13161 MINDANAO WAY # D6A",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926307",
            "telephone_number": "310-823-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13161 MINDANAO WAY # D6A",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926307",
            "telephone_number": "310-823-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOBAYASHI OPTOMETRIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-24",
        "last_updated": "2015-02-05",
        "status": "A",
        "authorized_official_last_name": "KOBAYASHI",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-823-4595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "9444T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0094440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del Rey Optometry at the Marina",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kinnected
• Katy Kleinberg, DPT, PT
• Cergei Walter Klishevich, D.C.
• KLM Surgical Associates
• Eric J Klostermann, D.P.M.
• Susan Kohler, MSCCCSLP
• Mickey M Kolodny, MD
• Nataliia Komashko
• Konviser Dental Professional Corporation (OceanBreeze Dental)
• Konviser Dental Professional Corporation (OceanBreeze Dental)

• Optometrist in Marina del Rey, CA
• Providers in Marina del Rey, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.