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

Pacific Eye Institute a Medical Group Inc

Organization Ophthalmology Physician · NPI 1316680200

Pacific Eye Institute a Medical Group Inc is an Ophthalmology Physician in Apple Valley, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

16177 Kamana Rd
Apple Valley, CA 92307-1377
Phone: (800) 345-8979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X

Record details

NPI number1316680200
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richmond Roeske — Owner · (909) 277-2420
NPI enumeratedApril 18, 2022
Last updated in NPPESApril 18, 2022
Certification dateApril 18, 2022
Mailing address555 N 13th Ave, Upland, CA 91786-4904

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