Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILLIP BRYAN TICKNER, O.D.
Active Sole ProprietorOptometrist · LEEDS, AL
Registration Details
- NPI Number
- 1124211990
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 23, 2007 (18.712116233988 yrs)
- Last Updated
- Nov 6, 2009
- License
-
S-B65-TA-769 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8551 WHITFIELD AVELEEDS, AL, 350947560Browse AL providers · Browse ZIP 35094
- Phone
- 2056550719
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LEEDS, AL
| Name | Credential | NPI |
|---|---|---|
| JASON BRIAN PULLIAM | OD | 1164453452 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.