Organization
FELTON EYECARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TY WILLIAM FELTON OPTOMETRIST (OWNER)
(406) 360-8280
Entity
Organization
Contact information
Practice address
2230 N RESERVE ST STE 330, MISSOULA, MT 59808-1364
(406) 360-8280
Mailing address
2230 N RESERVE ST STE 330, MISSOULA, MT 59808-1364
(406) 360-8280
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073028213
—
MT
Enumeration date
06/14/2021
Last updated
11/19/2021
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