Organization
E. M. ROBERTS, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVAN MATTHEW ROBERTS O.D. (SOLE PROPRIETOR)
(619) 722-6121
Entity
Organization
Contact information
Practice address
BOX 555020, BLDG 1103, MAIN EXCHANGE COMPLEX, CAMP PENDLETON, CA 92055
(619) 722-6121
(619) 722-6389
Mailing address
2053 CORONADO VW, ALPINE, CA 91901-4105
(619) 722-6121
(619) 722-6389
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
8120T
CA
152WV0400X
Vision Therapy Optometrist
8120T
CA
152WX0102X
Occupational Vision Optometrist
8120T
CA
Other
Enumeration date
05/17/2007
Last updated
09/11/2025
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