Runway Optometry a Professional Optometric Corp.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

RUNWAY OPTOMETRY A PROFESSIONAL OPTOMETRIC CORP.

Practice address

12751 Millennium
Suite 130
Playa Vista, CA 90094-2886

Phone

(310) 582-5501

NPI assigned

Jan 24, 2017

Organization subpart

No

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

Authorized official

Name

Shahrokh Dayyani, ODNPI 1194893008

Title

Optometrist

Phone

(310) 582-5501

Specialties & licenses 1

Addresses

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.

• Shahrokh Dayyani, O.D.

  • Optometrist
  • Los Angeles, CA
  • NPI 1194893008
  Medicare reassignment Care Compare group NPD Authorized official
• 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": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1508303892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12751 MILLENNIUM",
            "address_2": "SUITE 130",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942886",
            "telephone_number": "310-582-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12751 MILLENNIUM",
            "address_2": "SUITE 130",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942886",
            "telephone_number": "310-582-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNWAY OPTOMETRY A PROFESSIONAL OPTOMETRIC CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-24",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "DAYYANI",
        "authorized_official_first_name": "SHAHROKH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "310-582-5501",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Playa Vista Dental
• Emily Popoff, DPT
• Hannah Rable, PT, DPT, CSCS
• RMPM Group Inc
• Dominique Robinson
• Sergio Sandoval, OTD, OTR/L
• Rehana Anzai Shah, M.S.W.
• Molly Stephanie Shepherd
• Silicon Beach Surgery Center Inc
• Soheil Levi DDS a Professional Corporation

• Optometrist in Playa Vista, CA
• Providers in Playa Vista, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.