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

Individual provider Ophthalmology Physician · NPI 1790903573

Eduardita Eolani Vicencio, MD is an Ophthalmology Physician in Apple Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16031 Tuscola Rd
Apple Valley, CA 92307-1319
Phone: (760) 946-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence A23710 (CA)

Record details

NPI number1790903573
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 24, 2007
Last updated in NPPESOctober 6, 2014

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