RETINA GROUP OF TIDEWATER PC
NPI 1629256441
Ophthalmology in Norfolk, VA

Q: What is Retina Group Of Tidewater PC's NPI number?

The NPI number for Retina Group Of Tidewater PC is 1629256441. It was assigned to this organization in the NPPES registry on February 4, 2008.

Q: What is Retina Group Of Tidewater PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since February 04, 2008

400 GRESHAM DR STE 308, NORFOLK, VA 23507(757) 622-7000(757) 623-6708 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Retina Group Of Tidewater Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RETINA GROUP OF TIDEWATER PC (NPI 1629256441) is a healthcare organization registered as an ophthalmology in Norfolk, Virginia and active in the NPI registry since February 2008. The organization lists Venkat Manoranjan Reddy, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1629256441

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameRETINA GROUP OF TIDEWATER PC

Location Address400 GRESHAM DR STE 308Norfolk, VA 23507-1901

Mailing Address400 Gresham Dr Ste 308Norfolk, VA 23507-1901 · (757) 622-7000 · Fax (757) 623-6708

Phone(757) 622-7000

Fax(757) 623-6708

Organization SubpartNo

Authorized OfficialVenkat Manoranjan ReddyPhysician/owner · (757) 622-7000

Enumeration DateFebruary 4, 2008

Last NPPES UpdateDecember 8, 2011

✔ NPI 1629256441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in VA · 0101051339

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.

400 GRESHAM DR STE 308, Norfolk, VA 23507

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Other Identifiers 5

Medicare UPINF30105VA

Medicaid6303251VA

Medicare PIN180024376VA

Medicare PIN180000610VA

Medicare PINC04656VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Retina Group Of Tidewater PC's NPI number?

The NPI number for Retina Group Of Tidewater PC is 1629256441. It was assigned to this organization in the NPPES registry on February 4, 2008.

Where is Retina Group Of Tidewater PC located?

Retina Group Of Tidewater PC is located at 400 Gresham Dr Ste 308, Norfolk, VA 23507. The listed phone number is (757) 622-7000.

What is Retina Group Of Tidewater PC's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Retina Group Of Tidewater PC was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.