BLAINE F. BIRD, O.D., P.C.; NPI #1083817944

Contact Information

BLAINE F. BIRD, O.D., P.C.

2255 N UNIVERSITY PKWY
SUITE #1
PROVO, UT 84604-1588

Phone: 801-374-2220
Fax: 801-373-5439
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for BLAINE F. BIRD, O.D., P.C.

NPI # 1083817944

LBN Legal business name BLAINE F. BIRD, O.D., P.C.

Authorized official BLAINE BIRD - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/07/2007

Last updated 12/29/2008 - About 17 years ago

Identifiers

UT	License #	1145549934
UT	Medicaid	529961264004
UT	Other	1871581652	BLUE CROSS BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BLAINE F. BIRD, O.D., P.C.

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for BLAINE F. BIRD, O.D., P.C.

Reviews for BLAINE F. BIRD, O.D., P.C.