Bigfork Eye Clinic P.C.
Organization Active NPI Optometrist · Bigfork, MT
NPI 1114090388 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1114090388
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 409 (MT)
- Legal business name
- BIGFORK EYE CLINIC P.C.
- Practice address
- 8111 Mt Highway 35 Ste 6
Bigfork, MT 59911-3589 - Phone
- (406) 837-6883
- Fax
- (406) 837-2063
- NPI assigned
- Nov 16, 2006
- Organization subpart
- No
Authorized official
- Name
- Erica Atlee
- Title
- Optician Office Assistant
- Phone
- (406) 837-6883
National Provider Directory
Locations
8111 MT Highway 35
Ste 6
Bigfork, MT 59911
Phone (406) 837-3878
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 409 | MT | Yes |
Addresses
Primary practice location
8111 Mt Highway 35 Ste 6
Bigfork, MT 59911-3589
Mailing address
8111 Mt Highway 35 Ste 6
Bigfork, MT 59911-3589
Phone (406) 837-6883
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26470 | Other | BCBS | |
| 0484367 | Medicaid | MT |
Other providers in Bigfork, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.