Organization
DR. E M ROBERTS PRACTICE OF OPTOMETRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. E M ROBERTS O.D. (PRESIDENT)
(619) 722-6121
Entity
Organization
Contact information
Practice address
MAIN EXCHANGE COMPLEX, BLDG 1103, CAMP PENDLETON, CA 92058
(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
Primary
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WL0500X
Low Vision Rehabilitation Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
152WS0006X
Sports Vision Optometrist
—
—
152WV0400X
Vision Therapy Optometrist
—
—
152WX0102X
Occupational Vision Optometrist
—
—
156FC0800X
Contact Lens Technician/Technologist
—
—
156FC0801X
Contact Lens Fitter
—
—
Other
Enumeration date
08/06/2008
Last updated
08/06/2008
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