Individual
COLIN PATRICK BLOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
142 PAVILION PKWY, NEWPORT, KY 41071-2884
(859) 291-9464
Mailing address
8614 WESTWOOD CENTER DR, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2307DT
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/15/2022
Last updated
12/01/2022
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