Active NPI
Jeffrey Bird, D.O.
- Optician
- Beverly, MA
National Provider Identifier
1316348543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 1881
- Practice address
- 40 Enon St
Beverly, MA 01915-1168 - Phone
- (978) 922-5996
- Fax
- (978) 922-5997
- NPI assigned
- Sep 8, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 1881 | MA | Primary |
Addresses
Primary practice location
40 Enon St
Beverly, MA 01915-1168
Mailing address
40 Enon Street
Beverly, MA 01915-1168
Phone (978) 922-5996
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156FX18004 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1881 | MA | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410134400000",
"number": "1316348543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 ENON STREET",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151168",
"telephone_number": "978-922-5996",
"fax_number": "978-922-5997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 ENON ST",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019151168",
"telephone_number": "978-922-5996",
"fax_number": "978-922-5997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "JEFFREY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-08",
"last_updated": "2014-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "MA",
"license": "1881",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156FX18004",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.