DEL REY OPTOMETRY AT THE MARINA
NPI 1184900037
Optometrist in Marina Del Rey, CA

Active since October 24, 2011
13161 MINDANAO WAY # D6A, MARINA DEL REY, CA 90292(310) 823-4595 Get Directions Write a Review

NPPES record last updated: February 5, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Del Rey Optometry At The Marina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEL REY OPTOMETRY AT THE MARINA (NPI 1184900037) is a healthcare organization registered as an optometrist in Marina Del Rey, California and active in the NPI registry since October 2011. The organization lists Kristine Kobayashi, President, as its authorized official.

NPPES Registry Identity

NPI1184900037
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameKOBAYASHI OPTOMETRIC INC
Location Address13161 MINDANAO WAY # D6AMarina Del Rey, CA 90292-6307
Mailing Address13161 Mindanao Way # D6aMarina Del Rey, CA 90292-6307 · (310) 823-4595
Organization SubpartNo
Authorized OfficialKristine KobayashiPresident · (310) 823-4595
Enumeration DateOctober 24, 2011
Last NPPES UpdateFebruary 5, 2015
✔ NPI 1184900037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 9444T
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
13161 MINDANAO WAY # D6A, Marina Del Rey, CA 90292

Other Names 1

Doing Business AsDel Rey Optometry At The Marina

Other Identifiers 3

Medicare PINFT273ACA
Medicare UPINU19255CA
MedicaidSD0094440CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Del Rey Optometry At The Marina is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20120202000703Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Del Rey Optometry At The Marina, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1063978542
4266 LINCOLN BLVD
Marina Del Rey, CA 90292
(310) 823-4595
✔ PECOS✔ Accepts Medicare0.3 mi
Optometry
NPI 1922095439
11245 WASHINGTON BLVD
Whittier, CA 90606
(562) 692-1208
✔ PECOS21 mi
Optometry
NPI 1598187924
7677 CENTER AVE STE 301
Huntington Beach, CA 92647
(714) 901-2007
✔ PECOS✔ Accepts Medicare31 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kobayashi Optometric Inc's NPI number?

The NPI number for Kobayashi Optometric Inc is 1184900037. It was assigned to this organization in the NPPES registry on October 24, 2011. The provider is doing business as Del Rey Optometry At The Marina.

Where is Kobayashi Optometric Inc located?

Kobayashi Optometric Inc is located at 13161 Mindanao Way # D6a, Marina Del Rey, CA 90292. The listed phone number is (310) 823-4595.

What is Kobayashi Optometric Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Kobayashi Optometric Inc enrolled in Medicare?

Yes. Kobayashi Optometric Inc is registered in the Medicare PECOS enrollment system.

When is Kobayashi Optometric Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kobayashi Optometric Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Kobayashi Optometric Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kobayashi Optometric Inc was last updated on February 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.