E. M. ROBERTS, O.D.
NPI 1164639456
Optometrist - Sports Vision in Camp Pendleton, CA
NPI Status: Active since May 17, 2007
Contact Information
BOX 555020
BLDG 1103, MAIN EXCHANGE COMPLEX
CAMP PENDLETON, CA
ZIP 92055
Phone: (619) 722-6121
Fax: (619) 722-6389
- Organization
- Optometrist
- Sports Vision
About E. M. ROBERTS, O.D.
This page provides the complete NPI Profile along with additional information for E. M. Roberts, O.d., a provider established in Camp Pendleton, California operating as a Optometrist, focusing in sports vision . The healthcare provider is registered in the NPI registry with number 1164639456 assigned on May 2007. The practitioner's primary taxonomy code is 152WS0006X with license number 8120T (CA). The provider is registered as an organization and their NPI record was last updated one year ago. E. M. Roberts, O.d. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Evan Matthew Roberts O.d. (Sole Proprietor)
- NPI
- 1164639456
- Provider Name
- E. M. ROBERTS, O.D.
- Entity Type
- Organization
- Location Address
- BOX 555020 BLDG 1103, MAIN EXCHANGE COMPLEX CAMP PENDLETON, CA 92055
- Location Phone
- (619) 722-6121
- Location Fax
- (619) 722-6389
- Mailing Address
- 2053 CORONADO VW ALPINE, CA 91901
- Mailing Phone
- (619) 722-6121
- Mailing Fax
- (619) 722-6389
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-17-2007
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Optometrist Sports Vision
- Taxonomy Code
- 152WS0006X
- Type
- Eye and Vision Services Providers
- License No.
- 8120T
- License State
- CA
- Taxonomy Description
- An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete's sport.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 152W00000X | Eye and Vision Services Providers | Optometrist | 8120T (CA) |
| 2 | 152WC0802X | Eye and Vision Services Providers | Optometrist | 8120T (CA) |
| 3 | 152WL0500X | Eye and Vision Services Providers | Optometrist | 8120T (CA) |
| 4 | 152WP0200X | Eye and Vision Services Providers | Optometrist | 8120T (CA) |
| 5 | 152WV0400X | Eye and Vision Services Providers | Optometrist | 8120T (CA) |
| 6 | 152WX0102X | Eye and Vision Services Providers | Optometrist | 8120T (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1164639456, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1164639456, enumerated as an "organization" on May 17, 2007.
The provider is located at BOX 555020 BLDG 1103, MAIN EXCHANGE COMPLEX CAMP PENDLETON, CA 92055 and the phone number is (619) 722-6121.
Optometrist with taxonomy code 152WS0006X and a focus in Sports Vision.
