NPI 1013008861
Ophthalmic Consultants of Tidewater PC
Practice location
- Address
- 109 Wimbledon Sq Suite E, Chesapeake, VA 23320-4945
- Phone
- (757) 547-9830
- Fax
- (757) 548-0721
Authorised official
- Name
- Rose Ann Waller
- Title
- Practice Manager
- Phone
- (757) 547-9830
Registered specialties
Ophthalmology Physician
Primary
Registry record
- NPI
- 1013008861
- Entity type
- Organization
- NPI issued
- 27 Sep 2006
- Record last updated
- 20 Feb 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.