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VITREO-RETINAL ASSOCIATES MEDICAL GROUP NPI 1245269356


NPI Information

NPI: 1245269356
Provider Name: VITREO-RETINAL ASSOCIATES MEDICAL GROUP
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
800 FAIRMOUNT AVE STE 120
PASADENA, CA
ZIP 91105
Phone: (626) 440-9920
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VITREO-RETINAL ASSOCIATES MEDICAL GROUP is an ophthalmology in Pasadena, CA. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. VITREO-RETINAL ASSOCIATES MEDICAL GROUP NPI is 1245269356. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

800 FAIRMOUNT AVE STE 120
PASADENA, CA
ZIP 91105-151
Phone: (626) 440-9920
Fax: (626) 440-0351

The provider's authorized official is Lawrence Joseph Kondra .
The authorized official title is Partnership and has the following contact phone number (626) 440-9920.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 1/2/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CS9651OTHERCALIFORNIAMEDICARE RAILROAD
2W11190OTHERCALIFORNIAMEDICARE
3GR0046200MEDICAIDCALIFORNIA
4180003746OTHERCALIFORNIAMEDICARE RAILROAD

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: 11/14/2023

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