VITREO-RETINAL MEDICAL GROUP INC NPI 1669969960

NPI Information

NPI: 1669969960
Provider Name: VITREO-RETINAL MEDICAL GROUP, INC
Classification: Ophthalmology - 207WX0107X
Entity Type: Organization

Specialization: Retina Specialist

Address:
1680 E ROSEVILLE PKWY STE 140
ROSEVILLE, CA
ZIP 95661
Phone: (916) 774-0100
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VITREO-RETINAL MEDICAL GROUP, INC is a retina specialist ophthalmology in Roseville, CA. The provider is an ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. VITREO-RETINAL MEDICAL GROUP, INC NPI is 1669969960. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1680 E ROSEVILLE PKWY STE 140
ROSEVILLE, CA
ZIP 95661-988
Phone: (916) 774-0100
Fax: (916) 774-0151

The provider's authorized official is Robert Thomas Wendel .
The authorized official title is Senior Vice-president and has the following contact phone number (916) 453-5403.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 4/23/2018.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207WX0107X	Ophthalmology	Retina Specialist			Yes

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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