MEDICARE: KRISTINE DAYRIT OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	36273	CA

General Provider Information

NPI Number	:	1366375495
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINE DAYRIT OD

Provider Business Mailing Address
First Line	:	14172 SAN ANTONIO DR
Second Line	:
City	:	RANCHO CUCAMONGA
State	:	CA
Zip	:	91739-2165
Country	:	US
Telephone Number	:	909-510-2916
Fax Number	:

Provider Business Practice Location Address
First Line	:	25200 LA PAZ RD STE 100
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-5134
Country	:	US
Telephone Number	:	949-489-2218
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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