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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 0101051339 | VA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | 6303251 | 05 |
Street Address |
400 GRESHAM DR STE 308 |
City | NORFOLK |
State | VA |
Zip Code | 23507-1901 |
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 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 |
---|---|---|---|---|
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 |
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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.