Organization
HARBOR EYECARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAM T NGUYEN OD (OPTOMETRIST)
(757) 420-0602
Entity
Organization
Contact information
Practice address
1401 GREENBRIER PKWY STE 2122, CHESAPEAKE, VA 23320
(757) 420-0602
Mailing address
1401 GREENBRIER PKWY STE 2122, CHESAPEAKE, VA 23320-2830
(757) 420-0602
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
061800252584
VA
Other
Enumeration date
12/07/2017
Last updated
08/01/2018
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