# BIRDS EYE MEDICAL PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497615710
- **Authorized official:** SHERLONDA ALLEN (BILLER/CREDENTIALER)
- **Authorized official phone:** (702) 640-0428

## Contact information

- **Practice address:** 2641 WILLAMETTE DR NE STE A, LACEY, WA 98516-1360
- **Practice address phone:** (702) 640-0428
- **Practice address fax:** (360) 347-6620
- **Mailing address:** 2641 WILLAMETTE DR NE STE A, LACEY, WA 98516-1360
- **Mailing address phone:** (702) 640-0428
- **Mailing address fax:** (360) 347-6620

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/18/2025
- **Last updated:** 11/19/2025