Modesto Retina Center, Inc.
LBN: Vitreo-Retinal Medical Group, Inc.
Modesto Retina Center, Inc. is an health care organization with primary practice located at 4712 Stoddard Rd , Modesto CA 95356-9404. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Retina Specialist. Allopathic & Osteopathic Physicians / Retina Specialist is the primary health care specialty.
Vitreo-Retinal Medical Group, Inc. can be contacted via phone (209) 549-8444, or through Pearlman, Joel via phone (916) 596-2027.
Contact Information
Primary practice address
4712 Stoddard Rd
Modesto CA 95356-9404
Phone: (209) 549-8444
Fax: (209) 549-8443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X |
Profile Details
| NPI number | 1114010949 |
|---|---|
| LBN Legal business name | Vitreo-Retinal Medical Group, Inc. |
| DBA Doing business as | Modesto Retina Center, Inc. |
| Authorized official | Pearlman, Joel Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Oct 6th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114010949 | NPPES |
| California | Other | CP5300 | RAILROAD MEDICARE |
| California | Other | ZZZ32011Z | RAILROAD MEDICARE |
| California | Other | 0199873 | RAILROAD MEDICARE |
| California | MEDICAID | GR0030323 | RAILROAD MEDICARE |
| California | Other | ZZZ29020Z | RAILROAD MEDICARE |
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