Provider Demographics
NPI:1558346429
Name:BIRD, STEVE R (OD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:R
Last Name:BIRD
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:1808 E UNION ST
Mailing Address - Street 2:UNIT E
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122
Mailing Address - Country:US
Mailing Address - Phone:206-328-2651
Mailing Address - Fax:
Practice Address - Street 1:1315 4TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2503
Practice Address - Country:US
Practice Address - Phone:206-624-3937
Practice Address - Fax:206-724-2210
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WA3324TX152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist