Provider Demographics
NPI:1346421161
Name:DR JODY L FINK LLC
Entity Type:Organization
Organization Name:DR JODY L FINK LLC
Other - Org Name:ADVANCED EYECARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JODY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:406-587-0668
Mailing Address - Street 1:91 W MADISON AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BELGRADE
Mailing Address - State:MT
Mailing Address - Zip Code:59714-3915
Mailing Address - Country:US
Mailing Address - Phone:406-388-2488
Mailing Address - Fax:
Practice Address - Street 1:91 W MADISON AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BELGRADE
Practice Address - State:MT
Practice Address - Zip Code:59714-3915
Practice Address - Country:US
Practice Address - Phone:406-388-2488
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2007-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT776152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty