OrganizationActive
E. M. Roberts, O.D.
NPI 1164639456 · Sports Vision Optometrist · Camp Pendleton, CA
Provider details
- NPI number
- 1164639456
- Entity type
- Organization
- Primary specialty
- Sports Vision OptometristEye and Vision Services Providers
- Authorized official
- Evan Roberts, Sole Proprietor
- License
- 8120T (CA)
Practice location
Box 555020
Bldg 1103, Main Exchange Complex
Camp Pendleton, CA 92055
Phone: (619) 722-6121
Fax: (619) 722-6389
Mailing address
2053 Coronado Vw
Alpine, CA 91901-4105
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.