Jason Brian Pulliam, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

SB13TA698 Issued in AL

Practice address

7913 Parkway Dr
Leeds, AL 35094-2126

Phone

(205) 702-4380

Fax

(205) 702-4381

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Leeds Family Eye Care, IncGroup PAC ID 4789787888, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Leeds Family Eye Care, Inc

  • Optometrist
  • Leeds, AL
  • NPI 1821157660
  Medicare reassignment Care Compare group NPD Authorized official
• Bessemer Family Eye Care LLC

  • Optometrist
  • Bessemer, AL
  • NPI 1366993248
  Medicare reassignment NPD
• David G. Chandler, O.D.,P.C.

  • Optometrist
  • Jacksonville, AL
  • NPI 1730226762
  NPD (past)
• David G. Chandler, OD

  • Optometrist
  • Anniston, AL
  • NPI 1346387677
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322524800000",
    "number": "1164453452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 PARKWAY DR",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350942126",
            "telephone_number": "205-702-4380",
            "fax_number": "205-702-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7913 PARKWAY DR",
            "city": "LEEDS",
            "state": "AL",
            "postal_code": "350942126",
            "telephone_number": "205-702-4380",
            "fax_number": "205-702-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLIAM",
        "first_name": "JASON",
        "middle_name": "BRIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "SB13TA698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip B Tickner OD & Associates LLC
• Princess Diane Pippen, CRNP-FNP-BC
• Jackson Pollard
• Ann Prendergast, RPH
• Jennifer Prentice, PHARM. D.
• Quality Care Counseling, Inc.
• Lexi Ray
• Jessica Reddick
• Virginia Grace Reese
• Renal Treatment Centers-Southeast, LP. (Leeds Dialysis)

• Optometrist in Leeds, AL
• Providers in Leeds, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.