Vitreo-Retinal Medical Group, Inc. in Sacramento - Retina Specialist
Vitreo-Retinal Medical Group, Inc. - NPI 1184717167
Vitreo-Retinal Medical Group, Inc. is a Retina Specialist in Sacramento, California. Vitreo-Retinal Medical Group, Inc. practices all healthcare services and medical treatments related to Retina Specialist. The NPI Number for Vitreo-Retinal Medical Group, Inc. is 1184717167. The last update date is 2023-10-06.
Vitreo-Retinal Medical Group, Inc.'s current location address is 3 Park Center Dr Ste 210, Sacramento, California. You can contact this provider via phone number 9165962027 and fax number 9164541036. The mailing address for Vitreo-Retinal Medical Group, Inc. is 3 Park Center Dr Ste 210, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vitreo-Retinal Medical Group, Inc. |
|---|---|
| Address | 3 Park Center Dr Ste 210, Sacramento, California |
| Phone Number | 9165962027 |
| Fax Number | 9164541036 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Pearlman Joel |
| Credentials | MD |
| Telephone Number | 9165962027 |
NPI Number Detail
| NPI Number | 1184717167 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2023-10-06 |
Provider Mailing Address Detail
| Address | 3 Park Center Dr Ste 210 |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958258341 |
| Phone Number | 9165962027 |
| Fax Number | 9164541036 |
Provider's Primary Taxonomy Detail
| Speciality | Retina Specialist |
|---|---|
| Taxonomy | 207Wx0107X |
|
Definition: An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 199873 | WA | DEPT OF LABOR WA - CHICO | |
| ZZZ31103Z | CA | CHICO-WORKERS COMP | |
| CP5300 | CA | RAILROAD MEDICARE | |
| GR0030324 | CA | -- | |
| ZZZ41244Z | CA | BLUE SHIELD CA GROUP # |
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What is the Vitreo-Retinal Medical Group, Inc.'s 1184717167?
The Vitreo-Retinal Medical Group, Inc.'s NPI (National Provider Identifier) Number is 1184717167. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the area of specialization for Vitreo-Retinal Medical Group, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Vitreo-Retinal Medical Group, Inc. is Retina Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 207Wx0107X.
When was the Vitreo-Retinal Medical Group, Inc.'s 1184717167 issued?
The Vitreo-Retinal Medical Group, Inc.'s 1184717167 was issued on 2006-10-02.
When was the Vitreo-Retinal Medical Group, Inc.'s information last updated?
The Vitreo-Retinal Medical Group, Inc.'s information was last updated on 2023-10-06.
When was the information pertaining to Vitreo-Retinal Medical Group, Inc. most recently updated or revised?
The details related to Vitreo-Retinal Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2023-10-06.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA