Southside Eye Care Pllc

NPI #1992794325 in Chesapeake, Virginia

Provider Information

NPI Number: 1992794325
Entity Type: Organization
Organization Name: Southside Eye Care Pllc
Primary Specialty: Optometrist
Enumeration Date: Oct 18, 2005
Last Updated: Jun 15, 2015

Practice Location

Address: 3206 CHURCHLAND BLVD
City: Chesapeake
State: Virginia
ZIP Code: 23321-5206
Phone: (757) 484-0101

Authorized Official

Name: DR. MICHAEL R KEVERLINE, MD
Title: OWNER
Phone: (757) 484-0101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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