Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Leady Dallan Collazos Quiroga, OPTOMETRIST

Individual provider Optometrist · NPI 1033917000

Leady Dallan Collazos Quiroga, OPTOMETRIST is an Optometrist in Vienna, Virginia. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

8614 Westwood Center Dr Fl 9
Vienna, VA 22182-2442
Phone: (504) 432-4692
Fax: (703) 923-5043
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Optometrist Taxonomy 152W00000X · Licence 152W00000X (NC)

Record details

NPI number1033917000
Entity typeIndividual (Type 1)
GenderFemale
Credentials OPTOMETRIST
Sole proprietorYes
NPI enumeratedMarch 5, 2025
Last updated in NPPESMarch 5, 2025
Certification dateMarch 4, 2025

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