Active NPI
Shahrokh Dayyani, O.D.
- Optometrist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T10307
- Practice address
- 2635 S Robertson Blvd
Los Angeles, CA 90034-2401 - Phone
- (310) 319-6122
- Fax
- (626) 421-7966
- NPI assigned
- Nov 30, 2006
- Last updated
- May 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T10307 | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | T10307 | CA | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | T10307 | CA | |
| Pediatric Optometrist | 152WP0200X | T10307 | CA |
Addresses
Primary practice location
2635 S Robertson Blvd
Los Angeles, CA 90034-2401
Mailing address
2635 S Robertson Blvd
Los Angeles, CA 90034-2401
Phone (310) 319-6122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSD001450 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12751 Millennium
Suite 130
Los Angeles, CA 90094-2978
Phone (310) 582-5501
2635 S Robertson Blvd
Los Angeles, CA 90034-2401
Phone (310) 319-6122
4718 /4 Admiralty Way
Marina del Rey, CA 90292-6905
Phone (310) 200-4222
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T10307 | CA | MD | Corneal and Contact Management Optometrist |
| 10307 | CA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr S Dayyani OD a Prof Corp | Optometrist | Current | Accepting new patients |
| Modo Optometry a Professional Optometry Corp | Optometrist | Current | Accepting new patients |
| Dan Rod Optometric Center Inc | Optometrist | Current | Accepting new patients |
| Runway Optometry a Professional Optometric Corp. | Optometrist | Current | Accepting new patients |
| Modo Optometry | Optometrist | Past | Accepting new patients |
Locations
2635 S Robertson Blvd
Los Angeles, CA 90034
Phone (310) 319-6122
4718 Admiralty Way
Marina del Rey, CA 90292
4718 Admiralty Way
#34
Marina del Rey, CA 90292
Phone (310) 200-4222
12751 Millennium
Ste 130
Playa Vista, CA 90094
Phone (310) 582-5501
322 Wilshire Blvd
Santa Monica, CA 90401
Phone (310) 319-6122
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778716800000",
"number": "1194893008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 S ROBERTSON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900342401",
"telephone_number": "310-319-6122",
"fax_number": "626-421-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2635 S ROBERTSON BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900342401",
"telephone_number": "310-319-6122",
"fax_number": "626-421-7966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYYANI",
"first_name": "SHAHROKH",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "T10307",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "T10307",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "CA",
"license": "T10307",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "CA",
"license": "T10307",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSD001450",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.