Phillip B Tickner Od & Associates LLC

NPI #1578890885 in Leeds, Alabama

Provider Information

NPI Number
1578890885
Entity Type
Organization
Organization Name
Phillip B Tickner Od & Associates LLC
Primary Specialty
Optometrist
Enumeration Date
Nov 6, 2009
Last Updated
May 18, 2010

Practice Location

Address
8551 WHITFIELD AVE
City
Leeds
State
Alabama
ZIP Code
35094-7560
Phone
(205) 699-0719

Authorized Official

Name
PHILLIP BRYAN TICKNER, OD
Title
OD
Phone
(205) 919-0671

Specialties & Taxonomy Codes

Specialty
Optometrist

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