NPI: 1114010949
Provider Name: VITREO-RETINAL MEDICAL GROUP, INC.
Doing Business As: MODESTO RETINA CENTER, INC.
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization
Specialization: Retina Specialist
Address:
4712 STODDARD RD
MODESTO, CA
ZIP 95356
Phone: (209) 549-8444
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VITREO-RETINAL MEDICAL GROUP, INC. is a retina specialist ophthalmology in Modesto, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. VITREO-RETINAL MEDICAL GROUP, INC. NPI is 1114010949. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Modesto Retina Center, Inc..
The provider's business location address is:
4712 STODDARD RD
MODESTO, CA
ZIP 95356-404
Phone: (209) 549-8444
Fax: (209) 549-8443
The provider's authorized official is Joel Pearlman .
The authorized official title is President and has the following contact phone number (916) 596-2027.
The enumeration date for this NPI number is 10/2/2006 and was last updated on 10/6/2023.