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Organization
RUNWAY OPTOMETRY A PROFESSIONAL OPTOMETRIC CORP.
Active
Organization
RUNWAY OPTOMETRY A PROFESSIONAL OPTOMETRIC CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHROKH DAYYANI OD (OPTOMETRIST)
(310) 582-5501
Entity
Organization
Contact information
Practice address
12751 MILLENNIUM, SUITE 130, PLAYA VISTA, CA 90094-2886
(310) 582-5501
Mailing address
12751 MILLENNIUM, SUITE 130, PLAYA VISTA, CA 90094-2886
(310) 582-5501
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/24/2017
Last updated
04/20/2023
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