Organization · Type 2 NPI

Vitreo-Retinal Medical Group, Inc.

Retina Specialist (Ophthalmology) Physician · Modesto, CA

NPI number 1114010949 Active

Practice location

4712 Stoddard Rd
Modesto, CA 95356-9404

Call (209) 549-8444 Map

Fax (209) 549-8443

Mailing address

3 Park Center Dr Ste 210
Sacramento, CA 95825-8341

Other practice locations

1401 Spanos Ct Ste 124, Modesto, CA 95355-2814 · (209) 549-8444
1401 Spanos Ct, Suite 223, Modesto, CA 95355-2810 · (209) 549-8444

Specialties and licenses

Taxonomy	Code	License
Ophthalmology Physician	207W00000X	None listed
Retina Specialist (Ophthalmology) Physician Primary	207WX0107X	None listed

Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

NPI record

NPI: 1114010949
Entity type: Organization (Type 2)
Issued: Oct 2, 2006
Last updated: Oct 6, 2023
Status: Active

Other names

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Modesto Retina Center, Inc. · doing business as
Modesto Retina Center, Inc. · doing business as

Authorized official

Dr. Joel Pearlman, MD
President
(916) 596-2027

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114010949

Vitreo-Retinal Medical Group, Inc.'s National Provider Identifier is 1114010949, issued on Oct 2, 2006. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Modesto, CA. The record was last updated on Oct 6, 2023.