Ophthalmic Consultants of Tidewater PC
NPI #1013008861 in Chesapeake, Virginia
Provider Information
- NPI Number
- 1013008861
- Entity Type
- Organization
- Organization Name
- Ophthalmic Consultants of Tidewater PC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Sep 27, 2006
- Last Updated
- Feb 20, 2015
Practice Location
- Address
- 109 WIMBLEDON SQ
- Address 2
- SUITE E
- City
- Chesapeake
- State
- Virginia
- ZIP Code
- 23320-4945
- Phone
- (757) 547-9830
Authorized Official
- Name
- MRS. ROSE ANN WALLER
- Title
- PRACTICE MANAGER
- Phone
- (757) 547-9830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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