MEDICARE: SAMUEL J. REITER, M.D., PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

General Provider Information

NPI Number	:	1639061039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMUEL J. REITER, M.D., PC

Provider Business Mailing Address
First Line	:	711 VAN NESS AVE STE 250
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-3272
Country	:	US
Telephone Number	:	415-600-3901
Fax Number	:	415-369-1225

Provider Business Practice Location Address
First Line	:	711 VAN NESS AVE STE 250
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-3272
Country	:	US
Telephone Number	:	415-600-3901
Fax Number	:	415-369-1225

Authorized Official
Title or Position	:	CEO
Name	:	DR. SAMUEL REITER
Credential	:	MD
Telephone Number	:	707-888-3121

Provider Enumeration Date	:	07/18/2025
Last Update Date	:	07/18/2025

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