VITREO-RETINAL MEDICAL GROUP, INC (NPI# 1073884045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073884045 |
| Entity Type | Organization |
| Organization Name | VITREO-RETINAL MEDICAL GROUP, INC |
| Other Organization Name | RETINAL CONSULTANTS MEDICAL GROUP, INC |
| Practice Address |
5 Medical Plaza Dr Suite 180 Roseville CA 95661-2865 |
| Mailing Address |
3939 J St Suite 104 Sacrament CA 95819-3631 |
| Practice Telephone | 9164544861 |
| Practice Fax Number | 9164543603 |
| Mailing Telephone | 9164546191 |
| Mailing Fax Number | 9164541036 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |
| Authorized Official Name | DR. ROBERT WENDEL (PRESIDENT) |
| Authorized Official Telephone | 9164535450 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Retinal Consultants Medical Group, Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669969960 | Vitreo-retinal Medical Group, Inc | Ophthalmology | 1680 E Roseville Pkwy Ste 140, Roseville, CA 95661-3988 | 2018-04-23 |
| 1033566096 | Vitreo-retinal Medical Group, Inc | Ophthalmology | 2330 E Bidwell St, Suite 200, Folsom, CA 95630-3875 | 2016-05-19 |
| Street Address |
5 MEDICAL PLAZA DR SUITE 180 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841267960 | Denise Lora Sweeney | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2868 | 2006-03-07 |
| 1114323912 | Rhonda Lynn Lee | Nurse Practitioner | 5 Medical Plaza Dr, #210, Roseville, CA 95661-2865 | 2014-11-06 |
| 1184965725 | Mark Drake | Podiatrist | 5 Medical Plaza Dr, 110, Roseville, CA 95661-2865 | 2013-03-06 |
| 1043579808 | Dennis Idowu | Obstetrics & Gynecology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 | 2012-05-14 |
| 1811262348 | Wellspace Health | Clinic/Center | 5 Medical Plaza Dr, Suite 170, Roseville, CA 95661-2865 | 2012-03-16 |
| 1164796546 | Lorna Adolfo, A Professional Medical Corporation | Internal Medicine | 5 Medical Plaza Dr, Ste# 110, Roseville, CA 95661-2865 | 2012-03-01 |
| 1801114988 | Brian Michael Bellucci | Internal Medicine | 5 Medical Plaza Dr, Suite 190, Roseville, CA 95661-2865 | 2010-05-13 |
| 1871822072 | Roseville Urology, Inc. | Urology | 5 Medical Plaza Dr, Suite 250, Roseville, CA 95661-2865 | 2009-12-17 |
| 1750526083 | Radiological Associates of Sacramento Medical Group Inc | Radiology | 5 Medical Plaza Dr, 130, Roseville, CA 95661-2865 | 2008-12-16 |
| 1891947859 | Rolf N. Gulbrandson, M.d., Inc. | Specialist | 5 Medical Plaza Dr, Suite 120, Roseville, CA 95661-2865 | 2008-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841624525 | Gabriel Jacob Md, A Medical Corporation | Ophthalmology | 2510 Douglas Blvd Ste 400, Roseville, CA 95661-3302 | 2013-08-29 |
| 1396088605 | Kareem Moussa | Ophthalmology | 1101 Riverside Ave, Roseville, CA 95678-5197 | 2013-04-04 |
| 1104023902 | Al Brooks | Ophthalmology | 1796 Poppy Field Dr, Roseville, CA 95661 | 2007-06-27 |
| 1609893338 | Brian William Rothlisberger | Ophthalmology | 1524 Eureka Rd, Ste 100, Roseville, CA 95661-2850 | 2006-07-17 |
| 1144211699 | Richard L Watnick | Ophthalmology | 25350 Kelly Rd, Roseville, MI 48066-5824 | 2005-11-03 |
| 1962783928 | Capital Eye Medical Group | Ophthalmology | 9221 Sierra College Blvd, Suite 130, Roseville, CA 95661-5919 | 2011-09-06 |
| 1770744351 | Michele S Todman | Ophthalmology | 1001 Riverside Ave, Roseville, CA 95678-5134 | 2008-06-17 |
| 1710109939 | Tom Obertynski | Ophthalmology | 25350 Kelly Rd, Roseville, MI 48066 | 2007-05-03 |
| 1700933405 | Shoshana E. Englard Md Pa | Ophthalmology | 1835 County Road C W, Roseville, MN 55113-1352 | 2007-01-04 |
| 1558418244 | Shoshana Esther Englard-falconer | Ophthalmology | 1835 County Road C W, Roseville, MN 55113-1352 | 2007-01-04 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.