Tidewater Eye Centers PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

TIDEWATER EYE CENTERS PC

Practice address

3601 County St
Portsmouth, VA 23707-3103

Phone

(757) 397-7858

Fax

(757) 673-6832

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Aston, LO

Title

Licensed Optician / Manager

Phone

(757) 397-7858

Specialties & licenses 1

Addresses

Other names 1

• Better Vision Doing business as

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659476752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 COUNTY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073103",
            "telephone_number": "757-397-2020",
            "fax_number": "757-673-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 COUNTY ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073103",
            "telephone_number": "757-397-7858",
            "fax_number": "757-673-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDEWATER EYE CENTERS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LICENSED OPTICIAN / MANAGER",
        "authorized_official_telephone_number": "757-397-7858",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LO"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiderwater Youth Service Commission
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• Tidewater Eye Center SPC
• Tidewater Eye Centers
• Tidewater Eye Centers
• Tidewater Medical Transport, Inc
• Tidewater Medspa PLLC
• Tidewater Mobile Medicine, PLLC
• Tidewater Neurologists Inc, PC
• Tidewater Pediatrics, P.C.

• Eyewear Supplier in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Eyewear Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.