Individual
NEIL MAGEE BLEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
DULLES TOWN CENTER MALL, #290, DULLES, VA 20166
(703) 421-3438
(703) 421-3428
Mailing address
39155 ALDIE RD, ALDIE, VA 20105-2005
(703) 421-3438
(703) 421-3428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0601000747
VA
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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