Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Retina Group of Tidewater PC

Organization Ophthalmology Physician · NPI 1629256441

Retina Group of Tidewater PC is an Ophthalmology Physician in Norfolk, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 Gresham Dr Ste 308
Norfolk, VA 23507-1901
Phone: (757) 622-7000
Fax: (757) 623-6708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence 0101051339 (VA)

Record details

NPI number1629256441
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venkat Reddy — Physician/Owner · (757) 622-7000
NPI enumeratedFebruary 4, 2008
Last updated in NPPESDecember 8, 2011
Mailing address400 Gresham Dr Ste 308, Norfolk, VA 23507-1901

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