Organization
VITREO-RETINAL MEDICAL GROUP, INC.
Active
Other names
Modesto Retina Center, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL PEARLMAN MD (PRESIDENT)
(916) 596-2027
Entity
Organization
Contact information
Practice address
4712 STODDARD RD, MODESTO, CA 95356-9404
(209) 549-8444
(209) 549-8443
Mailing address
3 PARK CENTER DR STE 210, SACRAMENTO, CA 95825-8341
(916) 596-2027
(866) 913-6557
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0199873
DEPT. OF LABOR WA
WA
01
—
CP5300
RAILROAD MEDICARE
CA
05
—
GR0030323
—
CA
01
—
ZZZ29020Z
BLUE SHIELD CA
CA
01
—
ZZZ32011Z
WORKERS COMP
CA
Enumeration date
10/02/2006
Last updated
10/06/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us