Individual
DR. KEVIN BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2158 W MASON ST, GREEN BAY, WI 54303-4705
(920) 490-9860
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002958
VA
152W00000X
Optometrist
Primary
3950-35
WI
Other
Enumeration date
11/16/2020
Last updated
07/27/2026
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