TIDEWATER EYE CENTER SPC
NPI 1578638748
Ophthalmology in Portsmouth, VA

Q: What is Tidewater Eye Center Spc's NPI number?

The NPI number for Tidewater Eye Center Spc is 1578638748. It was assigned to this organization in the NPPES registry on November 22, 2006.

Q: What is Tidewater Eye Center Spc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since November 22, 2006

3235 ACADEMY AVE, SUITE 200, PORTSMOUTH, VA 23703(757) 483-0400(757) 673-6832 Get Directions Write a Review

NPPES record last updated: December 2, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Tidewater Eye Center Spc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDEWATER EYE CENTER SPC (NPI 1578638748) is a healthcare organization registered as an ophthalmology in Portsmouth, Virginia and active in the NPI registry since November 2006. The organization lists Wayne R Devantier, President, as its authorized official.

NPPES Registry Identity

NPI1578638748

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameTIDEWATER EYE CENTER SPC

Location Address3235 ACADEMY AVE, SUITE 200Portsmouth, VA 23703-3200

Mailing Address3235 Academy Ave, Suite 200Portsmouth, VA 23703-3200 · (757) 483-0400 · Fax (757) 673-6832

Phone(757) 483-0400

Fax(757) 673-6832

Organization SubpartNo

Authorized OfficialWayne R DevantierPresident · (757) 483-0400

Enumeration DateNovember 22, 2006

Last NPPES UpdateDecember 2, 2014

✔ NPI 1578638748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3235 ACADEMY AVE, Portsmouth, VA 23703

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Other Identifiers 4

Medicare PINCN4826VA

Medicare PINCH5117VA

Medicare PINC05674VA

Medicare PINCN4829VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORDELIZA ABLAO-CHANTHAVICHITH N.P.

Nurse Practitioner

3235 ACADEMY AVE, SUITE 305
PORTSMOUTH, VA 23703

Portsmouth City (757) 686-9300

DR. JEFFREY STEPHEN WOLF M.D.

Colon & Rectal Surgery

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-9653

MARY ALISON MERCER OD

Optometrist

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

DR. MARTIN PAUL HARPEN MD

Internal Medicine (Nephrology)

3235 ACADEMY AVE, STE 301
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-9400

ROGER W NEWSOM MD

Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

JOHN T EDMONDS MD

Ophthalmology

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

KRUNAL MANUBHAI PATEL MD

Internal Medicine (Nephrology)

3235 ACADEMY AVE, SUITE 301
PORTSMOUTH, VA 23703

Portsmouth City (757) 484-9400

MARK A PAVILACK MD

Ophthalmology

3235 ACADEMY AVE, SUITE 200
PORTSMOUTH, VA 23703

Portsmouth City (757) 483-0400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidewater Eye Center Spc's NPI number?

The NPI number for Tidewater Eye Center Spc is 1578638748. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Tidewater Eye Center Spc located?

Tidewater Eye Center Spc is located at 3235 Academy Ave Suite 200, Portsmouth, VA 23703. The listed phone number is (757) 483-0400.

What is Tidewater Eye Center Spc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Tidewater Eye Center Spc was last updated on December 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.