Individual
DR. NICK NEAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
650 MASSACHUSETTS AVE NW, WASHINGTON, DC 20001-3796
(202) 898-1060
(202) 898-0472
Mailing address
1950 OLD GALLOWS RD, SUITE 520, VIENNA, VA 22182-3990
(703) 847-8899
(703) 991-0514
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
I3-0001265
DE
152W00000X
Optometrist
Primary
OP532
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001138722
—
DE
Enumeration date
01/10/2007
Last updated
02/17/2022
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