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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BLAINE F BIRD, O.D.

Active

DR. BLAINE F BIRD, O.D. is a Optometrist healthcare provider located in PROVO, Utah. NPI 1871581652 is currently active in the NPPES registry. Verify at CMS.

Optometrist · PROVO, UT

Registration Details

NPI Number
1871581652
Provider Type
Individual
Gender
Male
NPI Issued
Oct 6, 2005 (20.818048949994 yrs)
Last Updated
Jun 10, 2020
Licenses
114554-8908 (UT)
114554-9934 (UT)
114554-9934 (UT)
114554-9934 (UT)

Practice Information

Address
1055 N 300 W
SUITE 204
PROVO, UT, 846043344
Browse UT providers · Browse ZIP 84604
Phone
8013577373
Fax
8013577217
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Pediatric Optometrist
Additional Specialty
Sports Vision Optometrist
Additional Specialty
Optometrist

Other Optometrist Providers in PROVO, UT

Name Credential NPI
DR. FRANK MIDDLETON EDMUNDS O.D. 1578560165
DR. JOE REX HAGGARD O.D. 1508863978
DR. PHILLIP ANTHONY PLOTHOW OD 1235110149
DR. DELL C MORRIS OD 1619947991
DR. TODD J LEWIS OD 1801856976
MR. ADAM L HICKENBOTHAM OD 1063462778
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.