Provider Demographics
NPI:1326527904
Name:PERRY, JAMES BRANDON (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:BRANDON
Last Name:PERRY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:DR
Other - First Name:JAMES
Other - Middle Name:BRANDON
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:2617 HIGHWAY 31 S
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1322
Mailing Address - Country:US
Mailing Address - Phone:205-664-1575
Mailing Address - Fax:205-664-1578
Practice Address - Street 1:2617 HIGHWAY 31 S
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1322
Practice Address - Country:US
Practice Address - Phone:205-664-1575
Practice Address - Fax:205-664-1578
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2018-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-E14-TA-B27152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist