Provider Demographics
NPI:1528757457
Name:MCNALLY, MOLLY LAURANA MARIE (OD)
Entity type:Individual
Prefix:
First Name:MOLLY
Middle Name:LAURANA MARIE
Last Name:MCNALLY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1580 N FRANKLIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-1476
Mailing Address - Country:US
Mailing Address - Phone:540-381-9086
Mailing Address - Fax:540-381-8183
Practice Address - Street 1:1580 N FRANKLIN ST STE 11580N
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-1478
Practice Address - Country:US
Practice Address - Phone:540-381-9086
Practice Address - Fax:540-381-8183
Is Sole Proprietor?:No
Enumeration Date:2023-05-05
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0618003285152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist