Blaine F Bird is a Sports Vision in Provo, Utah. Blaine F Bird practices all healthcare services and medical treatments related to Sports Vision. The NPI Number for Blaine F Bird is 1871581652. The last update date is 2020-06-10.
Blaine F Bird's current location address is 1055 N 300 W, Provo, Utah. You can contact this provider via phone number 8013577373 and fax number 8013577217. The mailing address for Blaine F Bird is 1055 N 300 W, Provo, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Blaine F Bird |
|---|---|
| Address | 1055 N 300 W, Provo, Utah |
| Phone Number | 8013577373 |
| Fax Number | 8013577217 |
| Sole Proprietor | N |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1871581652 |
|---|---|
| Provider Enumeration Date | 2005-10-06 |
| Last Updated Date | 2020-06-10 |
Provider Mailing Address Detail
| Address | 1055 N 300 W |
|---|---|
| City | Provo |
| State | Utah (UT) |
| Post Code | 846043344 |
| Phone Number | 8013577373 |
| Fax Number | 8013577217 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Vision |
|---|---|
| Taxonomy | 152Ws0006X |
| Licence No | 114554-9934 |
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Definition: An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the preven |
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What is the Blaine F Bird's 1871581652?
The Blaine F Bird's NPI (National Provider Identifier) Number is 1871581652. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Blaine F Bird's physical address?
The Blaine F Bird is physically located at 1055 N 300 W, in the city of Provo, UT, with the postal code 846043344.
What is Blaine F Bird's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Blaine F Bird is Sports Vision, and the corresponding taxonomy classification code for this specialized field is 152Ws0006X.
On what date did Blaine F Bird receive its 1871581652 assignment from the Centers for Medicare & Medicaid Services?
The Blaine F Bird was assigned its 1871581652 on 2005-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Blaine F Bird's details last updated?
The information pertaining to the Blaine F Bird, including its address, specialty, and other details, was most recently updated on 2020-06-10.