Leady Dallan Collazos Quiroga, OPTOMETRIST is a
Student In An Organized Health Care Education/training Program based in Vienna, Virginia. Leady Dallan Collazos Quiroga is licensed to practice in * (Not Available) (license number ) and her current practice location is
8614 Westwood Center Dr Fl 9, Vienna, Virginia. She can be reached at her office (for appointments etc.) via phone at
(504) 432-4692.
NPI number for Leady Dallan Collazos Quiroga is 1033917000 and her current mailing address is 8614 Westwood Center Dr Fl 9, Vienna, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033917000.
Healthcare Provider's Profile
| Full Name | Leady Dallan Collazos Quiroga |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 8614 Westwood Center Dr Fl 9, Vienna, Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1033917000
- Provider Enumeration Date: 03/05/2025
- Last Update Date: 03/05/2025
Medical Identifiers
Medical identifiers for Leady Dallan Collazos Quiroga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033917000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 152W00000X (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leady Dallan Collazos Quiroga is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Leady Dallan Collazos Quiroga, OPTOMETRIST
8614 Westwood Center Dr Fl 9,
Vienna, VA 22182-2442
Ph: (504) 432-4692 | Leady Dallan Collazos Quiroga, OPTOMETRIST
8614 Westwood Center Dr Fl 9,
Vienna, VA 22182-2442
Ph: (504) 432-4692 |
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