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Contact Information

DR. BRIAN R. PETTIE EYECARE, PC
1600 MONTCLAIR RD
IRONDALE, AL35210-2410
 Phone: 205-951-3268
 Fax: 205-719-4021
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for DR. BRIAN R. PETTIE EYECARE, PC

NPI Number 1215135967
LBN Legal business name DR. BRIAN R. PETTIE EYECARE, PC
Authorized official BRIAN PETTIE - (OPTOMETRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/04/2007
Last updated 05/27/2026 - About 2 weeks ago
Identifiers
AL License # S-A54-TA-634
AL Other 51532635 BCBS AL IRONDALE LOCATION
AL Other 51538863 BCBS AL ROEBUCK LOCATION
AL Other U99431 VIVA
AL Other U99431 VIVA MEDICARE PLUS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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