Wayne R Devantier
TIDEWATER EYE CENTER SPC


Address: 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Phone: 7574830400

Wayne R Devantier (NPI# 1538178363, PAC ID# 4284764069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.

Physician Overview

Nation Provider ID (NPI) 1538178363
PAC ID by PECOS 4284764069
Professional Enrollment ID I20100607000059
Full Name Wayne R Devantier
Organization Legal Name TIDEWATER EYE CENTER SPC
Address 3235 Academy Ave
Suite 200
Portsmouth
VA 23703-3200
Phone Number 7574830400
Gender M
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 1980
Primary Specialty OPHTHALMOLOGY
Group Practice PAC ID 7719938679
Number of Group Practice Members 9
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 7574830400 TIDEWATER EYE CENTER SPC

Organization Information

Organization Legal Name TIDEWATER EYE CENTER SPC
Physicians 9

Physicians with the same organization

Name Specialty Organization Address
Mark J Iacobucci Ophthalmology Tidewater Eye Center Spc 805 N Battlefield Blvd, Suite 111, Chesapeake, VA 23320-4878
Mary Alison Mercer Optometry Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Roger W Newsom Ophthalmology Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
John Edmonds Ophthalmology Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Mark A Pavilack Ophthalmology Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Kori Elkins Ophthalmology Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Joy Catherine Tomko Optometry Tidewater Eye Center Spc 805 N Battlefield Blvd, Suite 111, Chesapeake, VA 23320-4878
Leonard A Rappaport Ophthalmology Tidewater Eye Center Spc 805 N Battlefield Blvd, Suite 111, Chesapeake, VA 23320-4878

Office Location

Street Address 3235 ACADEMY AVE
SUITE 200
City PORTSMOUTH
State VA
Zip 23703-3200

Physicians in the same location

Name Specialty Organization Address
Mary Alison Mercer Optometry Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Roger W Newsom Ophthalmology Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
John Edmonds Ophthalmology Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Parimal J Soni Internal Medicine 3235 Academy Ave, Suite 300, Portsmouth, VA 23703-3200
Krunal Manubhai Patel Nephrology Portsmouth Nephrology PC 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200
Mark A Pavilack Ophthalmology Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Kori Elkins Ophthalmology Tidewater Eye Center Spc 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200
Frederick C Crum Family Medicine Churchland Family Medicine PC 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200
Relindis Nsofon Mutia Nurse Practitioner Portsmouth Nephrology PC 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200
David H Cyr Emergency Medicine Churchland Family Medicine PC 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Eric J Goldberg Neurology Tidewater Neurologists Inc 3235 Academy Ave, Portsmouth, VA 23703-3200
Margaret M Stiles Family Medicine Churchland Family Medicine PC 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200
Keith Zaitoun Nephrology Portsmouth Nephrology PC 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200
Hemang H Shah Neurology Tidewater Neurologists Inc 3235 Academy Ave, Portsmouth, VA 23703-3200
Antonietta Manaco Castanares Nephrology Portsmouth Nephrology PC 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200
Syed H Rahman Neurology 3235 Academy Ave, Portsmouth, VA 23703-3200
Kenneth L Labasky Clinical Social Worker Churchland Psychiatric Associates PC 3300 Academy Ave, Portsmouth, VA 23703-3205
William J Duane Psychologist, Clinical Churchland Psychiatric Associates PC 3300 Academy Ave, Portsmouth, VA 23703-3205
John Haddaway Clinical Social Worker Churchland Psychiatric Associates PC 3300 Academy Ave, Portsmouth, VA 23703-3205
Karen L Mckinley Clinical Social Worker Churchland Psychiatric Associates PC 3300 Academy Ave, Portsmouth, VA 23703-3205
Find all physicians in zip 23703

Competitor

Search similar physicians

City PORTSMOUTH
Zip Code 23703
Specialty OPHTHALMOLOGY
City + Specialty PORTSMOUTH + OPHTHALMOLOGY

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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