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Organization
MODO OPTOMETRY
Active
Organization
MODO OPTOMETRY
Active
Parent organization
DR. S. DAYYANI, O.D., A PROFESSIONAL OPTOMETRIC CORP.
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. S. DAYYANI, O.D., A PROFESSIONAL OPTOMETRIC CORP.
Authorized official
DR. SHAHROKH DAYYANI O.D. (PRESIDENT)
(310) 305-2950
Entity
Organization
Contact information
Practice address
4718 ADMIRALTY WAY # B, MARINA DEL REY, CA 90292-6905
(310) 305-2950
(310) 458-4799
Mailing address
4718 ADMIRALTY WAY # B, MARINA DEL REY, CA 90292-6905
(310) 305-2950
(310) 458-4799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10307T
CA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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