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Tidewater Eye Center Spc

NPI 1578638748ActiveOrganization· Ophthalmology· Portsmouth, VA

Ophthalmology in Portsmouth, Virginia, registered in NPPES in November 2006. The authorized official on file is Wayne R. Devantier, MD, President.

Overview

NPI1578638748
StatusActive
Entity typeOrganization
NPI issuedNov 22, 2006
Last updated in NPPESDec 2, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Ophthalmology Primary207W00000X—VA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Ophthalmology providers in Portsmouth

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