Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Faculty Physicians and Surgeons of Llusm

Organization Optometrist · NPI 1962452714

Faculty Physicians and Surgeons of Llusm is an Optometrist in San Bernardino, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

2195 Club Center Dr Ste A-L
San Bernardino, CA 92408-4170
Phone: (909) 558-2154
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Optometrist Taxonomy 152W00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1962452714
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ricardo Peverini — President · (909) 558-7448
NPI enumeratedMay 11, 2006
Last updated in NPPESFebruary 2, 2023
Certification dateFebruary 2, 2023
Mailing addressFile Number 54701, Los Angeles, CA 90074-0001

Other providers in San Bernardino