Pacific Eye Institute a Medical Group INC
NPI #1407932619 in Upland, California
Provider Information
- NPI Number
- 1407932619
- Entity Type
- Organization
- Organization Name
- Pacific Eye Institute a Medical Group INC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Oct 31, 2006
- Last Updated
- Feb 14, 2025
Practice Location
- Address
- 555 N 13TH AVE
- City
- Upland
- State
- California
- ZIP Code
- 91786-4904
- Phone
- (909) 982-8846
Authorized Official
- Name
- RICHMOND ROESKE
- Title
- PHYSICIAN/OWNER
- Phone
- (800) 345-8979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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