PHILLIP B TICKNER OD & ASSOCIATES LLC
NPI 1578890885
Optometrist in Leeds, AL

Q: What is Phillip B Tickner Od & Associates LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since November 06, 2009

8551 WHITFIELD AVE, LEEDS, AL 35094(205) 699-0719(205) 699-0722 Get Directions Write a Review

NPPES record last updated: May 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Phillip B Tickner Od & Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP B TICKNER OD & ASSOCIATES LLC (NPI 1578890885) is a healthcare organization registered as an optometrist in Leeds, Alabama and active in the NPI registry since November 2009. The organization lists Phillip Bryan Tickner, Od, as its authorized official.

NPPES Registry Identity

NPI1578890885

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePHILLIP B TICKNER OD & ASSOCIATES LLC

Location Address8551 WHITFIELD AVELeeds, AL 35094-7560

Mailing Address109 Anderson CirTrussville, AL 35173-1001 · (205) 919-0671 · Fax (205) 739-2027

Phone(205) 699-0719

Fax(205) 699-0722

Organization SubpartNo

Authorized OfficialPhillip Bryan TicknerOd · (205) 919-0671

Enumeration DateNovember 6, 2009

Last NPPES UpdateMay 18, 2010

✔ NPI 1578890885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in AL · SB65TA769

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

8551 WHITFIELD AVE, Leeds, AL 35094

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Phillip B Tickner Od & Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillip B Tickner Od & Associates LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Phillip Tickner, O.D.

Optometry

NPI 1124211990

8551 WHITFIELD AVE
Leeds, AL 35094

(205) 655-0719

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip B Tickner Od & Associates LLC's NPI number?

The NPI number for Phillip B Tickner Od & Associates LLC is 1578890885. It was assigned to this organization in the NPPES registry on November 6, 2009.

Where is Phillip B Tickner Od & Associates LLC located?

Phillip B Tickner Od & Associates LLC is located at 8551 Whitfield Ave, Leeds, AL 35094. The listed phone number is (205) 699-0719.

What is Phillip B Tickner Od & Associates LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Phillip B Tickner Od & Associates LLC enrolled in Medicare?

Yes. Phillip B Tickner Od & Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Phillip B Tickner Od & Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Optometry) reassigns their Medicare billing to Phillip B Tickner Od & Associates LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Phillip B Tickner Od & Associates LLC was last updated on May 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.