# CHILDREN'S EYE INSTITUTE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043221922
- **Authorized official:** DR. LANCE MARSHALL SIEGEL M.D. (PRESIDENT)
- **Authorized official phone:** (909) 931-9675

## Contact information

- **Practice address:** 1246 E ARROW HWY, SUITE A, UPLAND, CA 91786-4955
- **Practice address phone:** (909) 931-9675
- **Practice address fax:** (909) 931-3239
- **Mailing address:** 1246 E ARROW HWY, SUITE A, UPLAND, CA 91786-4955
- **Mailing address phone:** (909) 931-9675
- **Mailing address fax:** (909) 931-3239

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/10/2006
- **Last updated:** 08/21/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GR0096060 | — | CA |
| 05 | — | GR0096061 | — | CA |
| 05 | — | GR0096062 | — | CA |