Brothers, Tamara J

Brothers, Tamara J is an individual health care provider with primary practice located at 3750 Virginia Beach Blvd , Virginia Beach VA 23452-3411. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Brothers, Tamara J can be contacted via phone (757) 486-1712.

Contact Information

Primary practice address
3750 Virginia Beach Blvd Virginia Beach VA 23452-3411
Phone: (757) 486-1712
Fax: (757) 486-2962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0618001535 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X 1616 North Carolina

Profile Details

NPI number 1659368983
LBN Legal business name Brothers, Tamara J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated May 28th, 2024 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659368983 NPPES
North Carolina MEDICAID 890901K

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