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VITREO-RETINAL MEDICAL GROUP INC. NPI 1770646119


NPI Information

NPI: 1770646119
Provider Name: VITREO-RETINAL MEDICAL GROUP, INC.
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
3939 J ST STE 104
SACRAMENTO, CA
ZIP 95819
Phone: (916) 453-5450
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VITREO-RETINAL MEDICAL GROUP, INC. is an ophthalmology in Sacramento, 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 MEDICAL GROUP, INC. NPI is 1770646119. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3939 J ST STE 104
SACRAMENTO, CA
ZIP 95819-631
Phone: (916) 453-5450
Fax: (916) 454-1015

The provider's authorized official is Robert T. Wendel .
The authorized official title is President and has the following contact phone number (916) 453-5450.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 1/25/2008.


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
1GR0030324MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIACHICO OFFICE
2GR0030321MEDICAIDCALIFORNIA
3ZZZ14096ZMEDICARE PINCALIFORNIA
4GR0030320MEDICAIDCALIFORNIA
5CP5300OTHERCALIFORNIARAILROAD
6199873OTHERWASHINGTONDEPT. OF LABOR WA
7GR0030323MEDICAIDCALIFORNIA
8ZZZ14095ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIASTOCKTON OFFICE
9ZZZ32011ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMODESTO OFFICE
10GR0030322MEDICAIDCALIFORNIA
11ZZZ82386ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIASACRAMENTO OFFICE
12ZZZ8236ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIACARMICHAEL OFFICE
13ZZZ31103ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIACHICO OFFICE
14CP5300OTHERCALIFORNIARAILROAD MEDICARE

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: 4/28/2024

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