Tidewater Eye Centers

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TIDEWATER EYE CENTERS

Practice address

3235 Academy Ave Ste 200
Portsmouth, VA 23703

Phone

(757) 397-2020

Fax

(757) 397-8766

NPI assigned

Jul 2, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer Quattlebaum

Title

Billing Director

Phone

(757) 397-7858

Specialties & licenses 1

Addresses

Other names 1

• Better Vision Eyeglass Center Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1154550879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE STE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-397-4666",
            "fax_number": "757-673-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE STE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "23703",
            "telephone_number": "757-397-2020",
            "fax_number": "757-397-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER EYE CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "QUATTLEBAUM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "757-397-7858"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Vision Eyeglass Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Better Vision Eyeglass Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward S. Thur, NP-C
• Terrall Thurman Jr., D.D.S.
• Tiderwater Youth Service Commission
• Tidewater Chiropractic Group P.C.
• Tidewater Eye Center SPC
• Tidewater Eye Centers
• Tidewater Eye Centers PC
• Tidewater Medical Transport, Inc
• Tidewater Medspa PLLC
• Tidewater Mobile Medicine, PLLC

• Ophthalmology Physician in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Ophthalmology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.