| Yasaman Mahdavi, | |
|
4718 3/4 Admiralty Way, Marina Del Rey, CA 90292-6905 | |
| (310) 305-2950 | |
| Not Available |
| Full Name | Yasaman Mahdavi |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 2 Years |
| Location | 4718 3/4 Admiralty Way, Marina Del Rey, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487487054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 35816 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Runway Optometry A Professional Optometric Corp | 1759795651 | 3 |
| Provider Name | Runway Optometry A Professional Optometric Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508303892 PECOS PAC ID: 1759795651 Enrollment ID: O20210204002961 |
| Provider Name | Modo Optometry A Professional Optometry Corp |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255883948 PECOS PAC ID: 1850775529 Enrollment ID: O20220829003756 |
| Mailing Address | Practice Location Address |
|---|---|
| Yasaman Mahdavi, 17 Copps Hill St, Laguna Niguel, CA 92677-4705 Ph: () - | Yasaman Mahdavi, 4718 3/4 Admiralty Way, Marina Del Rey, CA 90292-6905 Ph: (310) 305-2950 |
Eyes Of The Marina Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13455 Maxella Ave Ste 135, Marina Del Rey, CA 90292 Phone: 310-306-2020 | |
Dr. Domenico Rinaldi, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4266 Lincoln Blvd, Marina Del Rey, CA 90292 Phone: 310-823-4595 Fax: 310-823-4598 | |
David Yoo, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 13463 Washington Blvd, Marina Del Rey, CA 90292 Phone: 310-821-8382 | |
Bliss Optometry A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13400 Washington Blvd Unit 111, Marina Del Rey, CA 90292 Phone: 626-328-5741 | |
Kobayashi Optometric Inc Optometrist Medicare: Medicare Enrolled Practice Location: 13161 Mindanao Way # D6a, Marina Del Rey, CA 90292 Phone: 310-823-4595 | |
Marina Optometry A Professional Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 588 Washington Blvd, Marina Del Rey, CA 90292 Phone: 310-577-6608 | |
Modo Optometry A Professional Optometry Corp Optometrist Medicare: Medicare Enrolled Practice Location: 4718 Admiralty Way, 3/4, Marina Del Rey, CA 90292 Phone: 310-305-2950 |