MODO OPTOMETRY A PROFESSIONAL OPTOMETRY CORP
NPI 1255883948
Optometrist in Marina Del Rey, CA
About Modo Optometry A Professional Optometry Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MODO OPTOMETRY A PROFESSIONAL OPTOMETRY CORP (NPI 1255883948) is a healthcare organization registered as an optometrist in Marina Del Rey, California and active in the NPI registry since October 2016. The organization lists Armin Rafiee, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Modo Optometry A Professional Optometry Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Modo Optometry A Professional Optometry Corp, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Berkeley, CA 94720
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 Modo Optometry A Professional Optometry Corp's NPI number?
The NPI number for Modo Optometry A Professional Optometry Corp is 1255883948. It was assigned to this organization in the NPPES registry on October 27, 2016.
Where is Modo Optometry A Professional Optometry Corp located?
Modo Optometry A Professional Optometry Corp is located at 4718 Admiralty Way 3/4, Marina Del Rey, CA 90292. The listed phone number is (310) 305-2950.
What is Modo Optometry A Professional Optometry Corp's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Modo Optometry A Professional Optometry Corp enrolled in Medicare?
Yes. Modo Optometry A Professional Optometry Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Modo Optometry A Professional Optometry Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Modo Optometry A Professional Optometry Corp. 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, 2 practice at this address and 4 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 Modo Optometry A Professional Optometry Corp was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Modo Optometry A Professional Optometry Corp · NPI 1255883948
Optometrist organization in Marina Del Rey, California. Organization record, active in the CMS NPPES registry since October 27, 2016.
## Identity
- **NPI:** 1255883948 (Entity type: Organization)
- **Enumerated:** October 27, 2016
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Armin Rafiee, OPTOMETRIST
## Practice location
- **Address:** 4718 ADMIRALTY WAY, 3/4, Marina Del Rey, CA 90292-6905
- **Phone:** (310) 305-2950
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1255883948) · Data from the CMS NPPES public registry.