Healthcare Provider Details

I. General information

NPI: 1912843046
Provider Name (Legal Business Name): KYLE DILLON PIERRE OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1716 UNIVERSITY BLVD
BIRMINGHAM AL
35233-1816
US

IV. Provider business mailing address

1716 UNIVERSITY BLVD
BIRMINGHAM AL
35233-1816
US

V. Phone/Fax

Practice location:
  • Phone: 205-975-2020
  • Fax:
Mailing address:
  • Phone: 205-975-2020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberS-F92-TA-D96
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: