E. M. Roberts, O.D.

Primary specialty

Sports Vision OptometristTaxonomy code 152WS0006X

License

8120T Issued in CA

Legal business name

E. M. ROBERTS, O.D.

Practice address

Box 555020
BLDG 1103, Main Exchange Complex
Camp Pendleton, CA 92055

Phone

(619) 722-6121

Fax

(619) 722-6389

NPI assigned

May 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Evan Matthew Roberts, O.D.NPI 1194865576

Title

Sole Proprietor

Phone

(619) 722-6121

Specialties & licenses 7

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Matthew Roberts, O.D.

  • Sports Vision Optometrist
  • Camp Pendleton, CA
  • NPI 1194865576
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164639456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 CORONADO VW",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919014105",
            "telephone_number": "619-722-6121",
            "fax_number": "619-722-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BOX 555020",
            "address_2": "BLDG 1103, MAIN EXCHANGE COMPLEX",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "619-722-6121",
            "fax_number": "619-722-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. M. ROBERTS, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "619-722-6121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8120T",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "8120T",
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "CA",
            "license": "8120T",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "CA",
            "license": "8120T",
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Sports Vision",
            "state": "CA",
            "license": "8120T",
            "primary": true
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "8120T",
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Occupational Vision",
            "state": "CA",
            "license": "8120T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danny Lee Douty, IDC
• Dr. E M Roberts Practice of Optometry PC
• Brett Dubois, IDC
• Melanie A Dudik, OT
• Nathan Dyska, SFIDC
• Nicholas Paulson Eccles, DDS
• Robert Jackson Edge
• Stephen Edwards, D.O.
• Shaun Eggleston, FNP-C
• Brendan Eghtedar, DDS

• Optometrist in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.