Individual
DR. BLAINE F BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1055 N 300 W, SUITE 204, PROVO, UT 84604-3344
(801) 357-7373
(801) 357-7217
Mailing address
1055 N 300 W, SUITE 204, PROVO, UT 84604-3344
(801) 357-7373
(801) 357-7217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
114554-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
114554-8908
UT
152WP0200X
Pediatric Optometrist
114554-9934
UT
152WS0006X
Sports Vision Optometrist
114554-9934
UT
Other
Enumeration date
10/06/2005
Last updated
06/10/2020
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