NPI 1073028213 · live from the CMS NPI Registry
Ty William Felton, OD
Optometrist in Missoula, MT. National Provider Identifier 1073028213, active.
NPI record
| NPI | 1073028213 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 2230 N Reserve St Ste 330, Missoula, MT 59808 |
| Practice phone | 406-309-6633 |
| Enumerated | December 11, 2017 |
| Last updated | November 19, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3090 (MT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.