PACIFIC EYE INSTITUTE A MEDICAL GROUP INC
NPI 1407932619
Clinic/Center - Ambulatory Surgical in Upland, CA

Q: What is Pacific Eye Institute A Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since October 31, 2006CLIA Certified · 2 labs

555 N 13TH AVE, UPLAND, CA 91786(909) 982-8846(909) 931-0791 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Pacific Eye Institute A Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC EYE INSTITUTE A MEDICAL GROUP INC (NPI 1407932619) is a healthcare organization registered as an ambulatory surgical in Upland, California and active in the NPI registry since October 2006. The organization holds 2 active CLIA laboratory certificates and lists Richmond Roeske, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1407932619

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePACIFIC EYE INSTITUTE A MEDICAL GROUP INC

Location Address555 N 13TH AVEUpland, CA 91786-4904

Mailing Address555 N 13th AveUpland, CA 91786-4904 · (909) 982-8846 · Fax (909) 931-0791

Phone(909) 982-8846

Fax(909) 931-0791

Organization SubpartNo

Authorized OfficialRichmond RoeskePhysician/owner · (800) 345-8979

Enumeration DateOctober 31, 2006

Last NPPES UpdateFebruary 14, 2025

NPPES CertifiedFebruary 14, 2025

✔ NPI 1407932619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in CA · 240000525

555 N 13TH AVE, Upland, CA 91786

Open in Google Maps ↗

Other Names 1

Other NamePacific Eye Institute Ambulatory Surgery Ctr

Other Identifiers 1

MedicaidSUR51061FCA

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1003463

Pacific Eye Institute · Upland, CA

Active · expires Aug 29, 2026

CLIA Number05D1003463

Laboratory TypeCommunity Clinic

Certificate Effective DateAugust 30, 2024

Certificate Expiration DateAugust 29, 2026

Laboratory DirectorRobert N. Fabricant MD

Laboratory Phone(909) 982-8846

Laboratory LocationPacific Eye Institute555 N 13th Avenue, Upland, CA 91786

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2054597

Pacific Eye Institute · Rancho Cucamonga, CA

Active · expires Feb 24, 2027

CLIA Number05D2054597

Laboratory TypePhysician Office

Certificate Effective DateFebruary 25, 2025

Certificate Expiration DateFebruary 24, 2027

Laboratory DirectorJesse A. Dovich

Laboratory Phone(909) 982-8846

Laboratory LocationPacific Eye Institute8112 Milliken Ave Ste 203, Rancho Cucamonga, CA 91730

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

620 services419 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

419 services282 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

80 services51 patients

Complex removal of cataract with insertion of prosthetic lens 66982

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

77 services67 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

75 services56 patients

Dilation of fluid outflow drainage within eye 66174

Dilation to improve eye fluid flow is a process where eye drops are used to widen or dilate your pupils. This allows more fluid to flow out of the eye, reducing pressure and helping to prevent or treat conditions like glaucoma.

69 services49 patients

Removal of excessive skin and fat of upper eyelid 15823

This procedure, also known as upper eyelid surgery, is performed to remove excess skin and fat from the upper eyelid. It can help improve vision if heavy eyelids hinder it, and can also enhance the appearance of the eyes. It's a common, safe procedure.

26 services13 patients

Creation of eye fluid drainage tracts in iris using a laser, per session 66761

This procedure uses a laser to create small drainage tracts in the iris, the colored part of your eye. This helps excess fluid escape, reducing pressure in the eye that can cause glaucoma. It's performed in sessions.

26 services17 patients

Injection, dexamethasone, intravitreal implant, 0.1 mg J7312

This procedure involves placing a tiny implant into your eye. This implant slowly releases a medication called dexamethasone, which helps to reduce inflammation and swelling in the eye, improving vision and comfort.

24 services23 patients

Removal or relocation of corneal conjunctiva with graft 65426

This procedure involves the removal or relocation of the conjunctiva, a thin layer covering the white part of your eye, and replacing it with a graft. This is typically done to treat conditions affecting the eye's surface, improving comfort and vision.

23 services17 patients

Incision to improve eye fluid flow 65820

This procedure, known as a trabeculectomy, involves creating a small opening in the eye to improve fluid flow. This can help lower eye pressure in conditions like glaucoma. It's a common, safe procedure to protect your eye health.

21 services17 patients

Transplantation of outer layer of corneal tissue 65756

The transplantation of the outer layer of corneal tissue is a procedure to replace damaged or diseased corneal tissue with healthy tissue from a donor. This can improve vision and alleviate pain or discomfort.

18 services15 patients

Removal of membrane of retina with removal of internal limiting membrane of retina 67042

This procedure involves the surgical removal of a thin layer, called the membrane, from the retina. It also includes the removal of the innermost layer of the retina, known as the internal limiting membrane. This can help improve vision.

13 services13 patients

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SIDDHARTH BHARGAVA MD

Ophthalmology