Provider Demographics
NPI:1578680849
Name:DEMPSEY-CONNOLLY, MELISSA BETH (OD)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:BETH
Last Name:DEMPSEY-CONNOLLY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1950 OLD GALLOWS RD STE 520
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3970
Mailing Address - Country:US
Mailing Address - Phone:703-847-8899
Mailing Address - Fax:866-795-4020
Practice Address - Street 1:5 BEL AIR SOUTH PKWY
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6091
Practice Address - Country:US
Practice Address - Phone:410-569-8113
Practice Address - Fax:410-569-8585
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2018-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDTA1775152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist