Retina Group Of Tidewater Pc in Norfolk - Ophthalmology
Retina Group Of Tidewater Pc - NPI 1629256441
Retina Group Of Tidewater Pc is a Ophthalmology in Norfolk, Virginia. Retina Group Of Tidewater Pc practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Retina Group Of Tidewater Pc is 1629256441. The last update date is 2011-12-08.
Retina Group Of Tidewater Pc's current location address is 400 Gresham Dr Ste 308, Norfolk, Virginia. You can contact this provider via phone number 7576227000 and fax number 7576236708. The mailing address for Retina Group Of Tidewater Pc is 400 Gresham Dr Ste 308, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Retina Group Of Tidewater Pc |
|---|---|
| Address | 400 Gresham Dr Ste 308, Norfolk, Virginia |
| Phone Number | 7576227000 |
| Fax Number | 7576236708 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Reddy Manoranjan Venkat |
| Credentials | MD |
| Telephone Number | 7576227000 |
NPI Number Detail
| NPI Number | 1629256441 |
|---|---|
| Provider Enumeration Date | 2008-02-04 |
| Last Updated Date | 2011-12-08 |
Provider Mailing Address Detail
| Address | 400 Gresham Dr Ste 308 |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235071901 |
| Phone Number | 7576227000 |
| Fax Number | 7576236708 |
Provider's Primary Taxonomy Detail
| Speciality | Ophthalmology |
|---|---|
| Taxonomy | 207W00000X |
| Licence No | 101051339 |
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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 incl |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6303251 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Retina Group Of Tidewater Pc by the Centers for Medicare & Medicaid Services?
The Retina Group Of Tidewater Pc has been issued the NPI (National Provider Identifier) 1629256441 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Retina Group Of Tidewater Pc is physically located?
The Retina Group Of Tidewater Pc is physically situated at the following address: 400 Gresham Dr Ste 308, Norfolk, VA, 235071901.
What is the area of specialization for Retina Group Of Tidewater Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Retina Group Of Tidewater Pc is Ophthalmology, and the corresponding taxonomy code that categorizes this area of expertise is 207W00000X.
On what date did Retina Group Of Tidewater Pc receive its 1629256441 assignment from the Centers for Medicare & Medicaid Services?
The Retina Group Of Tidewater Pc was assigned its 1629256441 on 2008-02-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Retina Group Of Tidewater Pc most recently updated or refreshed?
The details pertaining to the Retina Group Of Tidewater Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2011-12-08.
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