VITREO-RETINAL MEDICAL GROUP INC. NPI 1184717167

NPI Information

NPI: 1184717167
Provider Name: VITREO-RETINAL MEDICAL GROUP, INC.

Doing Business As: CHCIO RETINA CENTER

Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
2460 BEACON ST
CHICO, CA
ZIP 95928
Phone: (530) 899-2251
Get Directions

VITREO-RETINAL MEDICAL GROUP, INC. is a retina specialist ophthalmology in Chico, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. VITREO-RETINAL MEDICAL GROUP, INC. NPI is 1184717167. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chcio Retina Center.

The provider's business location address is:

2460 BEACON ST
CHICO, CA
ZIP 95928-224
Phone: (530) 899-2251
Fax: (530) 894-6122

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.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207W00000X	Ophthalmology				No
2	207WX0107X	Ophthalmology	Retina Specialist			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0199873	OTHER	WASHINGTON	DEPT OF LABOR WA - CHICO
2	ZZZ31103Z	OTHER	CALIFORNIA	CHICO-WORKERS COMP
3	CP5300	OTHER	CALIFORNIA	RAILROAD MEDICARE
4	GR0030324	MEDICAID	CALIFORNIA
5	ZZZ41244Z	OTHER	CALIFORNIA	BLUE SHIELD CA GROUP #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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