Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFF BIRDSONG, O.D.
ActiveJEFF BIRDSONG, O.D. is a Optometrist healthcare provider located in BOONVILLE, Missouri. NPI 1790777191 is currently active in the NPPES registry. Verify at CMS.
Optometrist · BOONVILLE, MO
Registration Details
- NPI Number
- 1790777191
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 22, 2005 (20.97132391776 yrs)
- Last Updated
- Sep 9, 2008
- License
-
2004017361 (MO)
Practice Information
- Address
-
505 E WALNUT STBOONVILLE, MO, 652331665Browse MO providers · Browse ZIP 65233
- Phone
- 6608822444
- Fax
- 6608827976
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.