Dr. Phillip Bryan Tickner, O.D.
Optometrist in Leeds, AL. Individual provider (NPI-1).
NPI number1124211990
StatusActive
Last updated in NPPESNov 6, 2009
Details
- NPI
- 1124211990
- Entity type
- Individual (NPI-1)
- Name
- Dr. Phillip Bryan Tickner
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 23, 2007
- Last updated
- Nov 6, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | S-B65-TA-769 | AL | Yes |
Practice location
8551 Whitfield AveLeeds, AL 35094-7560
Phone 205-655-0719
Mailing address
109 Anderson CirTrussville, AL 35173-1001
Phone 205-919-0671
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Other Optometrist providers in Leeds, AL
- Leeds Family Eye Care, INCNPI 1821157660
- Phillip B Tickner Od & Associates LLCNPI 1578890885
- Jason Brian Pulliam, ODNPI 1164453452
- Star Optometry Al, LLCNPI 1952237034
All 5 Optometrist providers in Leeds · All 178 providers in Leeds
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