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1578638748
TIDEWATER EYE CENTER SPC
PORTSMOUTH, VA
NPI
1578638748
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Entity Type
Organization
Authorized Contact
WAYNE R DEVANTIER
President
757-483-0400
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2006-11-22
Last Update Date
2014-12-02
Business Address
TIDEWATER EYE CENTER SPC
3235 ACADEMY AVE SUITE 200
PORTSMOUTH, VA 23703-3200
Phone number: 757-483-0400
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Mailing Address
TIDEWATER EYE CENTER SPC
3235 ACADEMY AVE SUITE 200
PORTSMOUTH, VA 23703-3200
Phone number: 757-483-0400
Copy
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