# PACIFIC EYE INSTITUTE, A MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1962422709
- **Authorized official:** DANTE CERVANTES (MEDICAL STAFF SERVICES SPECIALIST)
- **Authorized official phone:** (909) 277-2420

## Contact information

- **Practice address:** 555 N 13TH AVE, UPLAND, CA 91786-4904
- **Practice address phone:** (909) 982-8846
- **Practice address fax:** (909) 949-3967
- **Mailing address:** 555 N 13TH AVE, UPLAND, CA 91786-4904
- **Mailing address phone:** (909) 982-8846
- **Mailing address fax:** (909) 949-3967

## Taxonomy

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

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 03/13/2026