Modo Optometry a Professional Optometry Corp

Primary specialty

OptometristTaxonomy code 152W00000X

License

10307 Issued in CA

Legal business name

MODO OPTOMETRY A PROFESSIONAL OPTOMETRY CORP

Practice address

4718 Admiralty Way
3/4
Marina del Rey, CA 90292-6905

Phone

(310) 305-2950

NPI assigned

Oct 27, 2016

Last updated

Oct 20, 2022By 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

Mr. Armin Rafiee, OD

Title

Optometrist

Phone

(310) 305-2950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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 Care Compare group NPD
• Yasaman Mahdavi

  • Optometrist
  • Marina del Rey, CA
  • NPI 1487487054
  Medicare reassignment Care Compare group NPD
• Kayla Emiko Ueda

  • Optometrist
  • Marina del Rey, CA
  • NPI 1811404486
  Medicare reassignment Care Compare group NPD
• Elena Huber, OD

  • Optometrist
  • Beverly Hills, CA
  • NPI 1922523315
  Medicare reassignment NPD

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1255883948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4718 ADMIRALTY WAY",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4718 ADMIRALTY WAY",
            "address_2": "3/4",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902926905",
            "telephone_number": "310-305-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODO OPTOMETRY A PROFESSIONAL OPTOMETRY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "RAFIEE",
        "authorized_official_first_name": "ARMIN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-305-2950",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "10307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Misch, O.M.D.
• Ana Sofia Alicia Mitchell, MD
• Paul Mittermiller, MD
• Robin Elizabeth Mock, AU.D
• Modo Optometry
• Marjaneh Moghimi, DDS
• Gulpana M Mohammad, MD
• Mohdsameer Aljanedi Prof Dental Corporation (Marina Dentistry)
• Mohsin Fidai MD Inc
• Momentum Iop, LLC

• 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 Oct 20, 2022; 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.