DR. BLAINE BIRD, O.D.

Optometrist

Active Individual
NPI: 1871581652

Practice Address

1055 N 300 W
SUITE 204
Provo, UT 84604

Phone: (801) 357-7373

Specialties

Specialty Code Primary License
Optometrist - Corneal and Contact Management 152WC0802X No 114554-8908 (UT)
Optometrist - Pediatrics 152WP0200X No 114554-9934 (UT)
Optometrist - Sports Vision 152WS0006X No 114554-9934 (UT)
Optometrist 152W00000X Yes 114554-9934 (UT)

Frequently Asked Questions

NPI 1871581652 is the National Provider Identifier for DR. BLAINE BIRD, O.D., a Optometrist provider located in Provo, UT. This NPI was enumerated on October 6, 2005.
DR. BLAINE BIRD, O.D. practices at 1055 N 300 W, SUITE 204, Provo, UT 84604.

Quick Facts

NPI
1871581652
Type
Individual
Enumerated
Oct 6, 2005
Last Updated
Jun 10, 2020

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