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

Q: 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..

Q: 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.

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: November 01, 2026.

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

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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

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 22 clinicians reassign Medicare billing to Modesto Retina Center, 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

Mark Mcallister, MD

Ophthalmology

NPI 1669934394

3 PARK CENTER DR STE 100
Sacramento, CA 95825

(916) 454-4861

✔ PECOS✔ Accepts Medicare45 mi

Margaret Chang, M.D.

Ophthalmology

NPI 1477504405

3939 J ST STE 106
Sacramento, CA 95819

(916) 454-4861