Individual provider Active NPI

Eugenio F Bird, M.D.

  • Specialist
  • Orlando, FL
National Provider Identifier
1467481580
Registry record updated Sep 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME57203 Issued in FL
Practice address
895 Outer Rd
Orlando, FL 32814-6652
Phone
(407) 644-4477
Fax
(407) 644-9549
NPI assigned
Jul 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME57203 FL Primary

Addresses

Primary practice location

895 Outer Rd
Orlando, FL 32814-6652

Mailing address

895 Outer Rd
Orlando, FL 32814-6652
Phone (407) 644-4477

Other identifiers 1

IdentifierTypeStateIssuer
063398400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120216000398 FL Practitioner - Ophthalmology 0345140240 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME57203FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eugenio F Bird MD PA Specialist CurrentSince Mar 9, 1998 Accepting new patients
Garay Eye Care and Surgery Center PA CurrentSince Jul 22, 2022 Accepting new patients
Central Florida Cataract and Laser Surgery Center, Inc. Past Accepting new patients
Vision One Inc PastSince Dec 13, 1997 Accepting new patients
Vision One Inc Past Accepting new patients

Locations

1603 S Hiawassee Rd
Ste 100
Orlando, FL 32835
Phone (407) 291-9023

895 Outer Rd
Orlando, FL 32814
Phone (407) 644-4477

255 N Lakemont Ave
Ste 201
Winter Park, FL 32792
Phone (407) 622-7692

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1467481580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 OUTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-644-4477",
            "fax_number": "407-644-9549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 OUTER RD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328146652",
            "telephone_number": "407-644-4477",
            "fax_number": "407-644-9549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "EUGENIO",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME57203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063398400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.