Organization
PACIFIC EYE INSTITUTE A MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHMOND ROESKE MD (OWNER)
(909) 277-2420
Entity
Organization
Contact information
Practice address
16177 KAMANA RD, APPLE VALLEY, CA 92307-1377
(800) 345-8979
Mailing address
555 N 13TH AVE, UPLAND, CA 91786-4904
(909) 277-2420
(909) 206-1097
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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