Bird, Jennifer N.

Bird, Jennifer N. is an individual health care provider with primary practice located at 1355 E League City Pkwy Ste 200 , League City TX 77573-7095. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bird, Jennifer N. can be contacted via phone (713) 944-4182.

Contact Information

Primary practice address
1355 E League City Pkwy Ste 200 League City TX 77573-7095
Fax: (832) 932-3669
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 7455T Texas

Profile Details

NPI number 1003048851
LBN Legal business name Bird, Jennifer N.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2009
Last updated Aug 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003048851 NPPES
Other TXB142479 INDIVIDUAL PTAN
Other 7455T INDIVIDUAL PTAN

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