RETINA CENTER OF STOCKTON, INC.
NPI 1083707822
Ophthalmology in Stockton, CA

Active since October 02, 2006
3555 DEER PARK DR, SUITE 180, STOCKTON, CA 95219(209) 938-0496(209) 951-5231 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Retina Center Of Stockton, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA CENTER OF STOCKTON, INC. (NPI 1083707822) is a healthcare organization registered as an ophthalmology in Stockton, California and active in the NPI registry since October 2006. The organization lists Joel Pearlman, President, as its authorized official.

NPPES Registry Identity

NPI1083707822
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameVITREO-RETINAL MEDICAL GROUP, INC.
Location Address3555 DEER PARK DR, SUITE 180Stockton, CA 95219-2377
Mailing Address3 Park Center Dr Ste 100Sacramento, CA 95825-8340 · (916) 514-5469
Fax(209) 951-5231
Organization SubpartNo
Authorized OfficialJoel PearlmanPresident · (916) 596-2027
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 6, 2023
NPPES CertifiedOctober 6, 2023
✔ NPI 1083707822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
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.
3555 DEER PARK DR, Stockton, CA 95219

Other Names 1

Doing Business AsRetina Center Of Stockton, Inc.

Other Identifiers 5

OtherZZZ14095ZCA · Blue Shield Ca
Other0199873WA · Dept Of Labor Wa
MedicaidGR0030322CA
OtherZZZ14095ZCA · Workers Comp.
OtherCP5300CA · Railroad Medi-care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Retina Center Of Stockton, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

22

Medicare enrollment records show 22 clinicians reassign Medicare billing to Retina Center Of Stockton, Inc., which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Ophthalmology21
Optometry1

Nearest to this location (20)

See all 22
Ophthalmology
NPI 1669934394
3 PARK CENTER DR STE 100
Sacramento, CA 95825
(916) 454-4861
✔ PECOS✔ Accepts Medicare34 mi
Ophthalmology
NPI 1477504405
3939 J ST STE 106
Sacramento, CA 95819
(916) 454-4861
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1497901565
3939 J ST SUITE 106
Sacramento, CA 95819
(916) 454-4861
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1497864664
3939 J ST SUITE 106
Sacramento, CA 95819
(916) 454-6191
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1811218316
3939 J ST SUITE 106
Sacramento, CA 95819
(916) 454-4861
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1730384876
3939 J ST SUITE 106
Sacramento, CA 95819
(916) 453-5450
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1154430460
3939 J ST SUITE 106
Sacramento, CA 95819
(916) 454-6191
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1528177706
3939 J ST SUITE 106
Sacramento, CA 95819
(916) 454-6191
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1528043023
3939 J ST SUITE 106
Sacramento, CA 95819
(916) 454-4861
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1548294101
3939 J ST STE 106
Sacramento, CA 95819
(916) 454-4861
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1235234634
3939 J ST SUITE 106
Sacramento, CA 95819
(916) 454-6191
✔ PECOS✔ Accepts Medicare40 mi
Ophthalmology
NPI 1740711647
3 PARK CENTER DR STE 100
Sacramento, CA 95825
(916) 454-4861
✔ PECOS✔ Accepts Medicare41 mi
Ophthalmology
NPI 1346773934
3 PARK CENTER DR STE 100
Sacramento, CA 95825
(916) 454-4861
✔ PECOS✔ Accepts Medicare41 mi
Ophthalmology
NPI 1366948598
3 PARK CENTER DR STE 100
Sacramento, CA 95825
(916) 454-4861
✔ PECOS✔ Accepts Medicare41 mi
Ophthalmology
NPI 1659802387
3 PARK CENTER DR STE 100
Sacramento, CA 95825
(164) 544-8619
✔ PECOS✔ Accepts Medicare41 mi
Ophthalmology
NPI 1649776535
3 PARK CENTER DR STE 100
Sacramento, CA 95825
(916) 454-4861
✔ PECOS✔ Accepts Medicare41 mi
Ophthalmology
NPI 1033228739
3 PARK CENTER DR STE 100
Sacramento, CA 95825
(916) 454-4861
✔ PECOS✔ Accepts Medicare41 mi
Ophthalmology
NPI 1205035144
3 PARK CENTER DR STE 210
Sacramento, CA 95825
(916) 454-6191
✔ PECOS✔ Accepts Medicare41 mi
Optometry
NPI 1902998966
9221 SIERRA COLLEGE BLVD STE 130
Roseville, CA 95661
(916) 797-6747
✔ PECOS52 mi
Ophthalmology
NPI 1083855670
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare59 mi
See all 22 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitreo-Retinal Medical Group, Inc.'s NPI number?

The NPI number for Vitreo-Retinal Medical Group, Inc. is 1083707822. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Retina Center Of Stockton, Inc..

Where is Vitreo-Retinal Medical Group, Inc. located?

Vitreo-Retinal Medical Group, Inc. is located at 3555 Deer Park Dr Suite 180, Stockton, CA 95219. The listed phone number is (209) 938-0496.

What is Vitreo-Retinal Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Vitreo-Retinal Medical Group, Inc. enrolled in Medicare?

Yes. Vitreo-Retinal Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vitreo-Retinal Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 2 Medicare specialties reassign their Medicare billing to Vitreo-Retinal Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (21) and Optometry (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vitreo-Retinal Medical Group, Inc. was last updated on October 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.