Provider Demographics
NPI:1922409895
Name:FLAHERTY, BRITTANY (OD)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:
Last Name:FLAHERTY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2383152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist