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

Michael Edward Poblete, OD

Individual provider Optometrist · NPI 1164196820

Michael Edward Poblete, OD is an Optometry in Phelan, California. Graduated from Western Eclectic College of Medicine and Surgery in 2021, 5 years ago. Practices with Bryan D. Vanesian OD a Professional Optometry Corporation, a 4-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Trained at
Western Eclectic College of Medicine and Surgery
Licensed in
CA
In the registry since
2021
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

4355 Phelan Rd
Phelan, CA 92371-7675
Phone: (760) 868-2020
Show map & directions

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

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 34876 (CA)

Record details

NPI number1164196820
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 5, 2021
Last updated in NPPESAugust 5, 2021
Certification dateAugust 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolWESTERN ECLECTIC COLLEGE OF MEDICINE AND SURGERY
Graduated 2021 (5 years in practice)
Group practice Bryan D. Vanesian Od A Professional Optometry Corporation — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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