NPI 1114090388 · live from the CMS NPI Registry
Bigfork Eye Clinic P.C.
Optometrist in Bigfork, MT. National Provider Identifier 1114090388, active.
NPI record
| NPI | 1114090388 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 8111 Mt Highway 35 Ste 6, Bigfork, MT 59911 |
| Practice phone | 406-837-6883 |
| Enumerated | November 16, 2006 |
| Last updated | August 22, 2020 |
| Authorized official | Erica Atlee, Optician Office Assistant |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 409 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.