Provider Demographics
NPI:1124560032
Name:BRITTANY FLAHERTY OD PLLC
Entity Type:Organization
Organization Name:BRITTANY FLAHERTY OD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAHERTY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:570-498-8329
Mailing Address - Street 1:646 RIVER HWY
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9055
Mailing Address - Country:US
Mailing Address - Phone:704-360-6037
Mailing Address - Fax:704-660-3172
Practice Address - Street 1:646 RIVER HWY
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9055
Practice Address - Country:US
Practice Address - Phone:704-360-6037
Practice Address - Fax:704-660-3172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2383152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty