Dominic Liam Brophy, O.D.
Optometrist in Woodbridge, VA. Individual provider (NPI-1).
NPI number1780466573
StatusActive
Last updated in NPPESOct 17, 2023
Details
- NPI
- 1780466573
- Entity type
- Individual (NPI-1)
- Name
- Dominic Liam Brophy
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2023
- Certification date
- Oct 17, 2023
- Last updated
- Oct 17, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618003347 | VA | Yes |
Practice location
2924 Prince William PkwyWoodbridge, VA 22192-4145
Phone 703-763-1390
Mailing address
2924 Prince William PkwyWoodbridge, VA 22192-4145
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