| Phillip B Tickner Od & Associates Llc | |
|
8551 Whitfield Ave, Leeds, AL 35094-7560 | |
| (205) 699-0719 | |
| (205) 699-0722 |
| Full Name | Phillip B Tickner Od & Associates Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8551 Whitfield Ave, Leeds, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578890885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | SB65TA769 (Alabama) | Primary |
| Provider Name | Phillip B Tickner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124211990 PECOS PAC ID: 0244368975 Enrollment ID: I20100517000531 |
| Mailing Address | Practice Location Address |
|---|---|
| Phillip B Tickner Od & Associates Llc 109 Anderson Cir, Trussville, AL 35173-1001 Ph: (205) 919-0671 | Phillip B Tickner Od & Associates Llc 8551 Whitfield Ave, Leeds, AL 35094-7560 Ph: (205) 699-0719 |
Dr. Phillip Bryan Tickner, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8551 Whitfield Ave, Leeds, AL 35094 Phone: 205-655-0719 | |
Jason Brian Pulliam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7913 Parkway Dr, Leeds, AL 35094 Phone: 205-702-4380 Fax: 205-702-4381 | |
Leeds Family Eye Care, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 7913 Parkway Dr, Leeds, AL 35094 Phone: 205-702-4380 Fax: 205-702-4381 |