Organization
TIDAL FAMILY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTHA K OVERMEYER O.D. (OWNER)
(757) 249-0281
Entity
Organization
Contact information
Practice address
12300 JEFFERSON AVE, SUITE 500, NEWPORT NEWS, VA 23602-6900
(757) 249-0281
Mailing address
12300 JEFFERSON AVE, SUITE 500, NEWPORT NEWS, VA 23602-6900
(757) 249-0281
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002263
VA
Other
Enumeration date
01/03/2014
Last updated
02/03/2014
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