Individual
DR. DOUGLAS LEONARD CASSIDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4655 MONTICELLO AVE STE 201, WILLIAMSBURG, VA 23188-8221
(757) 259-6823
(757) 259-6826
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001111
VA
Other
Enumeration date
11/28/2006
Last updated
11/03/2021
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