Organization · Type 2 NPI
Vitreo-Retinal Medical Group, Inc
Retina Specialist (Ophthalmology) Physician · Roseville, CA
NPI number
1669969960
Active
Practice location
1680 E Roseville Pkwy Ste 140
Roseville, CA 95661-3988
Fax (916) 774-0151
Mailing address
3 Park Center Dr Ste 210
Sacramento, CA 95825-8341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Retina Specialist (Ophthalmology) Physician Primary | 207WX0107X | None listed |
Retina Specialist (Ophthalmology) Physician: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
About NPI 1669969960
Vitreo-Retinal Medical Group, Inc's National Provider Identifier is 1669969960, issued on Apr 23, 2018. The primary taxonomy on file is Retina Specialist (Ophthalmology) Physician (207WX0107X), and the practice location is in Roseville, CA. The record was last updated on Oct 6, 2023.