| Dr. Brian R. Pettie Eyecare, Pc | |
|
1600 Montclair Rd, Irondale, AL 35210-2410 | |
| (205) 951-3268 | |
| (205) 719-4021 |
| Full Name | Dr. Brian R. Pettie Eyecare, Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1600 Montclair Rd, Irondale, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215135967 | NPI | - | NPPES |
| 51532635 | Other | AL | BCBS AL IRONDALE LOCATION |
| U99431 | Other | AL | VIVA |
| 51538863 | Other | AL | BCBS AL ROEBUCK LOCATION |
| U99431 | Other | AL | VIVA MEDICARE PLUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | S-A54-TA-634 (Alabama) | Primary |
| Provider Name | Brian R Pettie |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891802120 PECOS PAC ID: 3274515606 Enrollment ID: I20040601001027 |
| Provider Name | Parisa T Dudley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063505097 PECOS PAC ID: 8224091285 Enrollment ID: I20041110000619 |
| Provider Name | Jennifer M Craig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831537356 PECOS PAC ID: 2062646326 Enrollment ID: I20130930000316 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Brian R. Pettie Eyecare, Pc 1600 Montclair Rd, Irondale, AL 35210-2410 Ph: (205) 951-3268 | Dr. Brian R. Pettie Eyecare, Pc 1600 Montclair Rd, Irondale, AL 35210-2410 Ph: (205) 951-3268 |
Dr. Lindsay Erin Snow, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 332 Bush St, Irondale, AL 35210 Phone: 205-975-2020 | |
Dr. Jennifer Michelle Craig, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1600 Montclair Rd, Irondale, AL 35210 Phone: 205-951-3268 Fax: 205-956-9753 | |
Jsd Eyecare, L.l.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1600 Montclair Rd, Irondale, AL 35210 Phone: 205-951-3268 Fax: 205-833-3059 | |
Myeyedr Optometry Of Alabama Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1536 Montclair Rd, Irondale, AL 35210 Phone: 205-599-2020 |