BLAINE F. BIRD, O.D., P.C. (NPI# 1083817944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083817944 |
| Entity Type | Organization |
| Organization Name | BLAINE F. BIRD, O.D., P.C. |
| Practice Address |
2255 N University Pkwy Suite #1 Provo UT 84604-1588 |
| Mailing Address |
2255 N University Pkwy Ste 1 Provo UT 84604-7505 |
| Practice Telephone | 8013742220 |
| Practice Fax Number | 8013735439 |
| Mailing Telephone | 8013742220 |
| Mailing Fax Number | 8013735439 |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2008-12-29 |
| Authorized Official Name | DR. BLAINE F BIRD (PRESIDENT) |
| Authorized Official Telephone | 8013742220 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1145549934 | UT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | BLUE CROSS BLUE SHIELD | 1871581652 | 01 |
| UT | 529961264004 | 05 |
| Street Address |
2255 N UNIVERSITY PKWY SUITE #1 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568501237 | Jason Michael Campbell | Dentist | 2255 N University Pkwy, Suite 39, Provo, UT 84604-1588 | 2007-02-06 |
| 1427658046 | Darrell R Bennett | Pharmacy | 2255 N University Pkwy, Provo, UT 84604-1588 | 2020-11-01 |
| 1417510645 | Cynthia Lyn Kerr | Pharmacist | 2255 N University Pkwy, Provo, UT 84604-1588 | 2019-04-14 |
| 1538554878 | Provo Orem Family & Cosmetic Dentistry Pllc | Dentist | 2255 N University Pkwy, Suite 39, Provo, UT 84604-1588 | 2015-04-03 |
| 1447674569 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2255 N University Pkwy, Provo, UT 84604-1588 | 2014-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295889376 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 1200 Towne Ctr Blvd, Provo Towne Ctr, Provo, UT 84601-5947 | 2007-01-23 |
| 1265589188 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1200 Towne Centre Blvd, Spc #c, Provo, UT 84601-5947 | 2007-01-04 |
| 1477632669 | Lund Optical Company | Eyewear Supplier (Equipment, not the service) | 20 No University Ave, Provo, UT 84601 | 2006-11-06 |
| 1598779563 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1200 Towne Centre Blvd Ste B, Provo, UT 84601 | 2006-07-28 |
| 1376832071 | Utah Valley Eye Center Inc | Eyewear Supplier (Equipment, not the service) | 1055 N 300 W Ste 204, Provo, UT 84604-3374 | 2011-04-04 |
| 1497924534 | Canyon Crest Optical | Eyewear Supplier (Equipment, not the service) | 3200 N Canyon Rd, Suite A, Provo, UT 84604-4571 | 2008-02-22 |
| 1396831483 | Central Utah Optical | Eyewear Supplier (Equipment, not the service) | 1735 N State St, Provo, UT 84604-1010 | 2006-10-05 |
| 1487748505 | Loran D Cook Md PC | Eyewear Supplier (Equipment, not the service) | 1055 N 300 W Ste 204, Provo, UT 84604-3374 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053935882 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15 S River Rd # 150, St George, UT 84790-2106 | 2020-06-08 |
| 1265088074 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 846 Expressway Ln, Spanish Fork, UT 84660-1300 | 2019-08-16 |
| 1407412885 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1520 W 9000 S Ste E, West Jordan, UT 84088-8001 | 2019-05-11 |
| 1043876428 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2843 S 5600 W Ste 170, West Valley City, UT 84120-6089 | 2019-05-11 |
| 1134785512 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 2035 Harris Blvd Ste C, Layton, UT 84041-1655 | 2019-05-11 |
| 1124584529 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1986 N Hill Field Rd Ste 5, Layton, UT 84041-2112 | 2019-02-11 |
| 1003383803 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 918 E 900 S, Salt Lake City, UT 84105-1402 | 2018-10-30 |
| 1356826010 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 4115 Riverdale Rd, Ogden, UT 84405-3509 | 2018-09-28 |
| 1003398025 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 366 E University Pkwy, Orem, UT 84058 | 2018-09-06 |
| 1790225696 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 6117 S State St, Murray, UT 84107-7343 | 2017-02-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.