RETINA GROUP OF TIDEWATER PC


Address: 400 Gresham Dr Ste 308, Norfolk, VA 23507-1901
Phone: 7576227000

RETINA GROUP OF TIDEWATER PC (NPI# 1629256441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629256441
Entity Type Organization
Organization Name RETINA GROUP OF TIDEWATER PC
Practice Address 400 Gresham Dr Ste 308
Norfolk
VA 23507-1901
Practice Telephone 7576227000
Practice Fax Number 7576236708
Mailing Telephone 7576227000
Mailing Fax Number 7576236708
Enumeration Date 2008-02-04
Last Update Date 2011-12-08
Authorized Official Name DR. VENKAT MANORANJAN REDDY (PHYSICIAN/OWNER)
Authorized Official Telephone 7576227000
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 0101051339 VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA 6303251 05

Office Location

Street Address 400 GRESHAM DR STE 308
City NORFOLK
State VA
Zip Code 23507-1901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790306801 Paolo Quentin Rigo Student in an Organized Health Care Education/Training Program Smith Rogers Hall, 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 2020-04-29
1811526221 Sean M Whitty Student in an Organized Health Care Education/Training Program Emergency Medicine Residency, Raleigh Building, St 304, 600 Gresham Dr, Norfolk, VA 23507 2020-04-07
1962030643 Shekinah Joy Vaughn Student in an Organized Health Care Education/Training Program 385 Mowbray Arch Ste 203205, Norfolk, VA 23507 2020-03-30
1982231403 Jaxon Vallely Student in an Organized Health Care Education/Training Program 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507 2020-03-25
1437714656 Kanishk Deep Sharma Student in an Organized Health Care Education/Training Program 825 Fairfax Avenue Eastern Virginia Medical School Inte, Suite 445, Norfolk, VA 23507 2019-05-02
1619439460 Dylan Woolum Student in an Organized Health Care Education/Training Program Raleigh Building, Suite 304, 600 Gresham Drive, Norfolk, VA 23507 2019-04-02
1477012623 Jessie R Jones Student in an Organized Health Care Education/Training Program 825 Fairfax Ave Ste 513a, Norfolk, VA 23507 2019-03-18
1316416787 Lindsey Sawyer Genetic Counselor, MS Childrens Hospital of The Kings Daughters, 601 Childrens Lane, Norfolk, VA 23507 2018-11-15
1881188159 Patrick Michael Haar Pharmacist 601 Pembroke Avenue, Apt 104, Norfolk, VA 23507 2018-06-19
1316438377 Monika Pajhal Student in an Organized Health Care Education/Training Program Eastern Virginia Medical School (internal Medicine), Internal Medicine, 825 Fairfax Ave, Suite 410, Norfolk, VA 23507 2018-05-25
Find all providers in zip 23507

Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417359746 James Austin Valone Jr. Ophthalmology 1423 Runymede Rd, Norfolk, VA 23505 2014-09-18
1336551571 Andrew Baldwin Ophthalmology 100 N 37th St, Norfolk, NE 68701-3265 2014-05-22
1881860013 Mark Michael Fernandez Ophthalmology 885 Kempsville Road, Suite 101, Virginia Ophthalmology Associates, PC, Norfolk, VA 23502 2008-05-07
1740493055 Maria Lourdes Garcia Gonzalez Ophthalmology 6315 N Center Dr Ste 230, Norfolk, VA 23502-4006 2007-05-07
1720146087 Norfolk Eye Physicians & Surgeons Ltd. Ophthalmology 1005 May Avenue, Norfolk, VA 23504 2006-12-05
1578652285 James M Gordon Ophthalmology 880 Kempsville Rd Ste 2500, Norfolk, VA 23502-3990 2006-10-12
1437165065 Conrad Allan Henry Ophthalmology 1881 E Little Creek Rd, Norfolk, VA 23518-4222 2006-08-01
1770546442 Cheryl Genessa Cauthen Ophthalmology 1005 May Ave, Norfolk, VA 23504-3423 2006-04-11
1639131972 Quentin Franklin Ophthalmology 3921 Granby St, Suite A, Norfolk, VA 23504 2006-04-03
1295719631 Alan Lewis Wagner Ophthalmology 6160 Kempsville Cir Ste 120b, Norfolk, VA 23502-3933 2005-11-30
Find all providers in NORFOLK

Competitor

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City NORFOLK
Zip Code 23507

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Dataset Information

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.

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