Individual
AMANDA BLOOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
850 WILLIAM D FITCH PKWY STE 700, COLLEGE STATION, TX 77845-6464
(979) 690-0147
(844) 527-3857
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
8972TG
TX
Other
Enumeration date
06/27/2016
Last updated
10/25/2023
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