Tidewater Eye Center SPC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

TIDEWATER EYE CENTER SPC

Practice address

3235 Academy Ave
Suite 200
Portsmouth, VA 23703-3200

Phone

(757) 483-0400

Fax

(757) 673-6832

NPI assigned

Nov 22, 2006

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wayne R Devantier, MDNPI 1538178363

Title

President

Phone

(757) 483-0400

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wayne R Devantier, MD

  • Ophthalmology Physician
  • Portsmouth, VA
  • NPI 1538178363
  Authorized official Same address or phone

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1578638748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-483-0400",
            "fax_number": "757-673-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 ACADEMY AVE",
            "address_2": "SUITE 200",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033200",
            "telephone_number": "757-483-0400",
            "fax_number": "757-673-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER EYE CENTER SPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "DEVANTIER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-483-0400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thriving Family Solutions LLC
• Edward S. Thur, NP-C
• Terrall Thurman Jr., D.D.S.
• Tiderwater Youth Service Commission
• Tidewater Chiropractic Group P.C. (Tidewater Chiropractic)
• Tidewater Eye Centers (Better Vision Eyeglass Center)
• Tidewater Eye Centers (Better Vision Eyeglass Center)
• Tidewater Eye Centers PC (Better Vision)
• Tidewater Medical Transport, Inc
• Tidewater Medspa 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 Dec 2, 2014; 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.