Organization
DR. BRIAN R. PETTIE EYECARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN ROLAND PETTIE OD (OPTOMETRIST)
(205) 951-3268
Entity
Organization
Contact information
Practice address
1600 MONTCLAIR RD, IRONDALE, AL 35210-2410
(205) 951-3268
(205) 719-4021
Mailing address
1600 MONTCLAIR RD, IRONDALE, AL 35210-2410
(205) 951-3268
(205) 719-4021
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S-A54-TA-634
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51532635
BCBS AL IRONDALE LOCATION
AL
01
—
51538863
BCBS AL ROEBUCK LOCATION
AL
01
—
U99431
VIVA
AL
Enumeration date
07/04/2007
Last updated
05/27/2026
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