Runway Optometry A Professional Optometric Corp. is a medicare enrolled "Optometrist" provider in Playa Vista, California. Their current practice location is
12751 Millennium, Suite 130, Playa Vista, California. You can reach out to their office (for appointments etc.) via phone at
(310) 582-5501.
Runway Optometry A Professional Optometric Corp. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Runway Optometry A Professional Optometric Corp.
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1508303892.
Healthcare Provider's Profile
| Full Name | Runway Optometry A Professional Optometric Corp. |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 12751 Millennium, Playa Vista, California |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1508303892
- Provider Enumeration Date: 01/24/2017
- Last Update Date: 04/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759795651
- Enrollment ID: O20210204002961
Medical Identifiers
Medical identifiers for Runway Optometry A Professional Optometric Corp. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1508303892 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Runway Optometry A Professional Optometric Corp. acts as a billing entity for following providers:
| Provider Name | Shahrokh Dayyani |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1194893008
PECOS PAC ID: 8921254939
Enrollment ID: I20120807000717 |
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| Provider Name | Kayla Emiko Ueda |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1811404486
PECOS PAC ID: 4880921568
Enrollment ID: I20190805001372 |
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| Provider Name | Elena Schmidt |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1922523315
PECOS PAC ID: 1759635733
Enrollment ID: I20220512001836 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Runway Optometry A Professional Optometric Corp. is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Runway Optometry A Professional Optometric Corp.
12751 Millennium, Suite 130,
Playa Vista, CA 90094-2886
Ph: (310) 582-5501 | Runway Optometry A Professional Optometric Corp.
12751 Millennium, Suite 130,
Playa Vista, CA 90094-2886
Ph: (310) 582-5501 |
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