Provider Demographics
NPI:1538654470
Name:FINCH, CURTIS ELLSWORTH III (OD)
Entity type:Individual
Prefix:DR
First Name:CURTIS
Middle Name:ELLSWORTH
Last Name:FINCH
Suffix:III
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 E STATE ST STE 140
Mailing Address - Street 2:
Mailing Address - City:EAGLE
Mailing Address - State:ID
Mailing Address - Zip Code:83616-7496
Mailing Address - Country:US
Mailing Address - Phone:208-939-7000
Mailing Address - Fax:
Practice Address - Street 1:440 E STATE ST STE 140
Practice Address - Street 2:
Practice Address - City:EAGLE
Practice Address - State:ID
Practice Address - Zip Code:83616-7496
Practice Address - Country:US
Practice Address - Phone:208-939-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-23
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-002255152W00000X
ID100653152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist