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PE

PACIFIC EYE INSTITUTE A MEDICAL GROUP INC

Adult Day Care

OIG CLEARNPI VERIFIEDMEDICARE ACTIVE
Location
UPLAND, CA
Licensed since
2006
Rate
Federal identifiers
NPI registry number1407932619
Agency details
Medicare activity
StatusActive — enrolled to order & refer
Medicare patients912
RevalidationDue 2023-09-30
Authorized official
NameRICHMOND ROESKE
TitlePHYSICIAN/OWNER
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