# VITREO-RETINAL MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770646119
- **Authorized official:** DR. ROBERT T. WENDEL MD (PRESIDENT)
- **Authorized official phone:** (916) 453-5450

## Contact information

- **Practice address:** 3939 J ST STE 104, SACRAMENTO, CA 95819-3631
- **Practice address phone:** (916) 453-5450
- **Practice address fax:** (916) 454-1015
- **Mailing address:** 3939 J ST STE 104, SACRAMENTO, CA 95819-3631
- **Mailing address phone:** (916) 453-5450
- **Mailing address fax:** (916) 454-1015

## Taxonomy

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

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 01/25/2008