# VITREO-RETINAL MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Retinal Consultants Medical Group, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710212782
- **Authorized official:** DR. ROBERT WENDEL M.D. (PRESIDENT)
- **Authorized official phone:** (916) 453-5450

## Contact information

- **Practice address:** 1548 N TRACY BLVD, TRACY, CA 95376-2903
- **Practice address phone:** (916) 454-4861
- **Practice address fax:** (916) 454-3603
- **Mailing address:** 3939 J ST, SUITE 104, SACRAMENTO, CA 95819-3631
- **Mailing address phone:** (916) 454-6191
- **Mailing address fax:** (916) 454-1036

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/08/2009
- **Last updated:** 10/08/2009