Provider Demographics
NPI:1144482084
Name:FARLEY, MELISSA DAWN (OD)
Entity type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:DAWN
Last Name:FARLEY
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:7350 PEPPERS FERRY BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:VA
Mailing Address - Zip Code:24141-8999
Mailing Address - Country:US
Mailing Address - Phone:540-731-1010
Mailing Address - Fax:540-731-1007
Practice Address - Street 1:7350 PEPPERS FERRY BLVD
Practice Address - Street 2:
Practice Address - City:FAIRLAWN
Practice Address - State:VA
Practice Address - Zip Code:24141-8999
Practice Address - Country:US
Practice Address - Phone:540-731-1010
Practice Address - Fax:540-731-1007
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001760152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist