RUNWAY OPTOMETRY A PROFESSIONAL OPTOMETRIC CORP.
NPI 1508303892
Optometrist in Playa Vista, CA
About Runway Optometry A Professional Optometric Corp. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUNWAY OPTOMETRY A PROFESSIONAL OPTOMETRIC CORP. (NPI 1508303892) is a healthcare organization registered as an optometrist in Playa Vista, California and active in the NPI registry since January 2017. The organization lists Shahrokh Dayyani, Optometrist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Runway Optometry A Professional Optometric 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 Runway Optometry A Professional Optometric Corp., which bills Medicare for the services they deliver. Of these, 4 practice 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 Runway Optometry A Professional Optometric Corp.'s NPI number?
The NPI number for Runway Optometry A Professional Optometric Corp. is 1508303892. It was assigned to this organization in the NPPES registry on January 24, 2017.
Where is Runway Optometry A Professional Optometric Corp. located?
Runway Optometry A Professional Optometric Corp. is located at 12751 Millennium Suite 130, Playa Vista, CA 90094. The listed phone number is (310) 582-5501.
What is Runway Optometry A Professional Optometric Corp.'s specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Runway Optometry A Professional Optometric Corp. enrolled in Medicare?
Yes. Runway Optometry A Professional Optometric Corp. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Runway Optometry A Professional Optometric Corp.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Optometry, reassign their Medicare billing to Runway Optometry A Professional Optometric 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Runway Optometry A Professional Optometric Corp. accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Runway Optometry A Professional Optometric Corp. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Runway Optometry A Professional Optometric Corp. was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Runway Optometry A Professional Optometric Corp. · NPI 1508303892
Optometrist organization in Playa Vista, California. Organization record, active in the CMS NPPES registry since January 24, 2017.
## Identity
- **NPI:** 1508303892 (Entity type: Organization)
- **Enumerated:** January 24, 2017
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Shahrokh Dayyani, OPTOMETRIST
## Practice location
- **Address:** 12751 MILLENNIUM, SUITE 130, Playa Vista, CA 90094-2886
- **Phone:** (310) 582-5501
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 20, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1508303892) · Data from the CMS NPPES public registry.