Individual
DR. TAMARA J BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3750 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-3411
(757) 486-1712
(757) 486-2962
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001535
VA
152W00000X
Optometrist
1616
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890901K
—
NC
Enumeration date
10/03/2005
Last updated
05/28/2024
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