DR. EVAN MATTHEW ROBERTS O.D. NPI 1194865576

NPI Information

NPI: 1194865576
Provider Name: DR. EVAN MATTHEW ROBERTS, O.D.
Classification: Optometrist - 152WC0802X
Entity Type: Individual

Specialization: Corneal and Contact Management

PECOS Registration: Yes

Address:
BLDG 1103
MAIN EXCHANGE COMPLEX
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 385-4651
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DR. Evan Matthew Roberts, O.D. is a corneal and contact management optometrist in Camp Pendleton, CA. The provider is the professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. DR. Evan Matthew Roberts, O.D. NPI is 1194865576. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

BLDG 1103
MAIN EXCHANGE COMPLEX
CAMP PENDLETON, CA
ZIP 92055
Phone: (760) 385-4651

The NPI 1194865576 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 2/7/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	152WC0802X	Optometrist	Corneal and Contact Management	8120T	CALIFORNIA	Yes
2	152W00000X	Optometrist		8120T	CALIFORNIA	X
3	152WP0200X	Optometrist	Pediatrics	8120T	CALIFORNIA	X
4	152WL0500X	Optometrist	Low Vision Rehabilitation	8120T	CALIFORNIA	X
5	152WV0400X	Optometrist	Vision Therapy	8120T	CALIFORNIA	X
6	152WX0102X	Optometrist	Occupational Vision	8120T	CALIFORNIA	X
7	152WS0006X	Optometrist	Sports Vision	8120T	CALIFORNIA	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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