Dr S Dayyani OD a Prof Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

T10307 Issued in CA

Legal business name

DR S DAYYANI OD A PROF CORP

Practice address

322 Wilshire Blvd
Santa Monica, CA 90401-1312

Phone

(310) 319-6122

Fax

(310) 458-4799

NPI assigned

Jan 4, 2007

Last updated

Aug 14, 2012By 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. Shahrokh Dayyani, ODNPI 1194893008

Title

Optometrist

Phone

(310) 319-6122

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Tax ID family

Dr S Dayyani OD a Prof Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Modo Optometry

  • Optometrist
  • Marina del Rey, CA
  • NPI 1366764862
  NPD tax ID

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.

• Shahrokh Dayyani, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1194893008
  Medicare reassignment NPD Authorized official
• Dianna Kattengell, O.D.

  • Optometrist
  • Santa Monica, CA
  • NPI 1861800724
  Medicare reassignment NPD
• Zachary Shore, O.D.

  • Optometrist
  • San Diego, CA
  • NPI 1639542277
  Medicare reassignment NPD
• Kayla Emiko Ueda

  • Optometrist
  • Marina del Rey, CA
  • NPI 1811404486
  Medicare reassignment NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1205983905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011312",
            "telephone_number": "310-319-6122",
            "fax_number": "310-458-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 WILSHIRE BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904011312",
            "telephone_number": "310-319-6122",
            "fax_number": "310-458-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR S DAYYANI OD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "DAYYANI",
        "authorized_official_first_name": "SHAHROKH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-319-6122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "T10307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD001450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Dowling, MD
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• John M Doyle, M.D.
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• Dr Sarah K Ito O D a Professional Corporation (Ocean Park Optometry)
• Dr Sun and Dr Sjolund Optometric Corp (Sunny Optometry)
• Dr. Carr Integrative Physical Therapy, Inc.
• Dr. Ehteram Benji Behroozan
• Dr. Gabrielle Du Verglas, Psychological Services, Inc.

• Optometrist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.