# E. M. ROBERTS, O.D.

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

## Provider details

- **NPI number:** 1164639456
- **Authorized official:** DR. EVAN MATTHEW ROBERTS O.D. (SOLE PROPRIETOR)
- **Authorized official phone:** (619) 722-6121

## Contact information

- **Practice address:** BOX 555020, BLDG 1103, MAIN EXCHANGE COMPLEX, CAMP PENDLETON, CA 92055
- **Practice address phone:** (619) 722-6121
- **Practice address fax:** (619) 722-6389
- **Mailing address:** 2053 CORONADO VW, ALPINE, CA 91901-4105
- **Mailing address phone:** (619) 722-6121
- **Mailing address fax:** (619) 722-6389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 8120T | CA | — |
| 152WC0802X | Corneal and Contact Management Optometrist | 8120T | CA | — |
| 152WL0500X | Low Vision Rehabilitation Optometrist | 8120T | CA | — |
| 152WP0200X | Pediatric Optometrist | 8120T | CA | — |
| 152WS0006X | Sports Vision Optometrist | 8120T | CA | Yes |
| 152WV0400X | Vision Therapy Optometrist | 8120T | CA | — |
| 152WX0102X | Occupational Vision Optometrist | 8120T | CA | — |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 09/11/2025