Phillip B Tickner Od & Associates LLC
NPI 1578890885ActiveOrganization· Optometrist· Leeds, AL
Optometrist in Leeds, Alabama, registered in NPPES in November 2009. The authorized official on file is Phillip Bryan Tickner, OD, Od. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578890885 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2009 |
| Last updated in NPPES | May 18, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | SB65TA769 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (AL) |
|---|
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