| NPI | 1477732113 |
|---|---|
| Doing Business As | TIDEWATER EYE CENTERS |
| Entity Type | Organization |
| Authorized Contact | LESLIE C HARRISON Insurance / Billing Manager 757-397-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: VA 1101001506) |
| Enumeration Date | 2007-10-30 |
| Last Update Date | 2008-09-03 |