EDUARDITA EOLANI VICENCIO M.D.
NPI 1790903573
Ophthalmology in Apple Valley, CA

Q: What is Eduardita Vicencio's NPI number?

The NPI number for Eduardita Vicencio is 1790903573. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Eduardita Vicencio's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since April 24, 2007

16031 TUSCOLA RD, APPLE VALLEY, CA 92307(760) 946-2020 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eduardita Eolani Vicencio M.d. NPPES

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

EDUARDITA EOLANI VICENCIO M.D. (NPI 1790903573) is an individual ophthalmology provider in Apple Valley, California, licensed in California (A23710) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1790903573

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameEDUARDITA EOLANI VICENCIOCredential: M.D.

Location Address16031 TUSCOLA RDApple Valley, CA 92307-1319

Mailing Address16031 Tuscola RdApple Valley, CA 92307-1319 · (760) 946-2020

Phone(760) 946-2020

Sole ProprietorYes

Enumeration DateApril 24, 2007

Last NPPES UpdateOctober 6, 2014

✔ NPI 1790903573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in CA · A23710

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

16031 TUSCOLA RD, Apple Valley, CA 92307

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Other Identifiers 3

Medicaid00A237100CA

Medicare ID-Type UnspecifiedA23710CA

Medicare UPINB49965CA

Other Providers at the Same Location NPPES 3

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

HEALING WATERS MARRIAGE AND FAMILY THERAPY INC

Marriage & Family Therapist

16031 TUSCOLA RD
APPLE VALLEY, CA 92307

San Bernardino County (661) 209-3614

DR. JULIA WARREN VALDEZ M.D.

Ophthalmology

16031 TUSCOLA RD
APPLE VALLEY, CA 92307

San Bernardino County (760) 946-2020

JULIA W VALDEZ M D INC

Ophthalmology

16031 TUSCOLA RD
APPLE VALLEY, CA 92307

San Bernardino County (760) 946-2020

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eduardita Vicencio's NPI number?

The NPI number for Eduardita Vicencio is 1790903573. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Where is Eduardita Vicencio located?

Eduardita Vicencio practices at 16031 Tuscola Rd, Apple Valley, CA 92307. The listed phone number is (760) 946-2020.

What is Eduardita Vicencio's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Eduardita Vicencio was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.