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Individual

BRIAN ROLAND PETTIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9248 PARKWAY E, BIRMINGHAM, AL 35206-1509
(205) 833-3171
(205) 833-3059
Mailing address
9248 PARKWAY E, BIRMINGHAM, AL 35206-1509
(205) 833-3171
(205) 833-3059

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
01
51538863
BCBS
AL
Enumeration date
08/24/2006
Last updated
05/06/2026
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