Organization
OPHTHALMIC CONSULTANTS OF TIDEWATER PC
Active
Organization
OPHTHALMIC CONSULTANTS OF TIDEWATER PC
Active
Other names
MID ATLANTIC EYE CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSE ANN WALLER (PRACTICE MANAGER)
(757) 547-9830
Entity
Organization
Contact information
Practice address
109 WIMBLEDON SQ, SUITE E, CHESAPEAKE, VA 23320-4945
(757) 547-9830
(757) 548-0721
Mailing address
109 WIMBLEDON SQ, SUITE E, CHESAPEAKE, VA 23320-4945
(757) 547-9830
(757) 548-0721
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
02/20/2015
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