Organization
VITREO-RETINAL MEDICAL GROUP, INC.
Active
Other names
Retina Center of Stockton, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL PEARLMAN MD (PRESIDENT)
(916) 596-2027
Entity
Organization
Contact information
Practice address
3555 DEER PARK DR, SUITE 180, STOCKTON, CA 95219-2377
(209) 938-0496
(209) 951-5231
Mailing address
3 PARK CENTER DR STE 100, SACRAMENTO, CA 95825-8340
(916) 514-5469
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199873
DEPT OF LABOR WA
WA
01
—
CP5300
RAILROAD MEDI-CARE
CA
05
—
GR0030322
—
CA
01
—
ZZZ14095Z
BLUE SHIELD CA
CA
Enumeration date
10/02/2006
Last updated
10/06/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up