Individual
DR. JAMES M TICKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., M.A.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001159
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1510066
HIGHMARK BLUESHIELD PIN
PA
01
—
817310
FIRST PRIORITY PIN
PA
01
—
82187
GEISINGER PIN NUMBER
PA
Enumeration date
05/01/2006
Last updated
07/13/2026
Update your record
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