1. Home
  2. Directory
  3. California
  4. Modesto
  5. Ophthalmology
  6. NPI Profile

MODESTO RETINA CENTER, INC.
NPI 1114010949
Ophthalmology - Retina Specialist in Modesto, CA

Active since October 02, 2006
4712 STODDARD RD, MODESTO, CA 95356(209) 549-8444(209) 549-8443 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 6, 2023, Apr 29, 2022, Dec 16, 2021 (3 updates tracked since 2021).

About Modesto Retina Center, Inc. NPPES

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

MODESTO RETINA CENTER, INC. (NPI 1114010949) is a healthcare organization registered as a retina specialist in Modesto, California and active in the NPI registry since October 2006. The organization maintains 2 additional practice locations and lists Joel Pearlman, President, as its authorized official.

NPPES Registry Identity

NPI1114010949
Entity TypeOrganization
Primary Taxonomy207WX0107X
Legal Business NameVITREO-RETINAL MEDICAL GROUP, INC.
Location Address4712 STODDARD RDModesto, CA 95356-9404
Mailing Address3 Park Center Dr Ste 210Sacramento, CA 95825-8341 · (916) 596-2027 · Fax (866) 913-6557
Phone(209) 549-8444
Fax(209) 549-8443
Organization SubpartNo
Authorized OfficialJoel PearlmanPresident · (916) 596-2027
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 6, 20233 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1114010949 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X
4712 STODDARD RD, Modesto, CA 95356
Open in Google Maps ↗

Other Names 1

Doing Business AsModesto Retina Center, Inc.

Secondary Practice Locations 2

Location 11401 Spanos Ct Ste 124Modesto, CA 95355-2814 · Phone (209) 549-8444
Location 21401 Spanos Ct, Suite 223Modesto, CA 95355-2810 · Phone (209) 549-8444 · Fax (209) 549-8443

Other Identifiers 5

OtherCP5300CA · Railroad Medicare
OtherZZZ32011ZCA · Workers Comp
Other0199873WA · Dept. Of Labor Wa
MedicaidGR0030323CA
OtherZZZ29020ZCA · Blue Shield Ca

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

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 1114010949. It was assigned to this organization in the NPPES registry on October 2, 2006. The provider is doing business as Modesto Retina Center, Inc..

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

Vitreo-Retinal Medical Group, Inc. is located at 4712 Stoddard Rd, Modesto, CA 95356. The listed phone number is (209) 549-8444.

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

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

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 2 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.