Tidewater Eye Centers

NPI #1154550879 in Portsmouth, Virginia

Provider Information

NPI Number: 1154550879
Entity Type: Organization
Organization Name: Tidewater Eye Centers
Primary Specialty: Ophthalmology
Enumeration Date: Jul 2, 2009
Last Updated: Jun 4, 2018

Practice Location

Address: 3235 ACADEMY AVE STE 200
City: Portsmouth
State: Virginia
ZIP Code: 23703
Phone: (757) 397-2020

Authorized Official

Name: JENNIFER QUATTLEBAUM
Title: BILLING DIRECTOR
Phone: (757) 397-7858

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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