Provider Demographics
NPI:1023692761
Name:DARNLEY, BRITTANY ANN (OD)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:ANN
Last Name:DARNLEY
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 1:5503 FOREST GLEN CT
Mailing Address - Street 2:
Mailing Address - City:MC DONALD
Mailing Address - State:PA
Mailing Address - Zip Code:15057-3528
Mailing Address - Country:US
Mailing Address - Phone:412-999-4884
Mailing Address - Fax:
Practice Address - Street 1:1000 E PARIS AVENUE SE
Practice Address - Street 2:STE 130
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49546-3680
Practice Address - Country:US
Practice Address - Phone:616-949-2001
Practice Address - Fax:646-949-8620
Is Sole Proprietor?:No
Enumeration Date:2021-05-10
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005607152W00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program