Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON BRIAN PULLIAM, OD
ActiveOptometrist · LEEDS, AL
Registration Details
- NPI Number
- 1164453452
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2006 (19.846362721647 yrs)
- Last Updated
- Nov 29, 2011
- License
-
SB13TA698 (AL)
Practice Information
- Address
-
7913 PARKWAY DRLEEDS, AL, 350942126Browse AL providers · Browse ZIP 35094
- Phone
- 2057024380
- Fax
- 2057024381
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in LEEDS, AL
| Name | Credential | NPI |
|---|---|---|
| DR. PHILLIP BRYAN TICKNER | O.D. | 1124211990 |
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.