Healthcare Provider Details

I. General information

NPI: 1588799860
Provider Name (Legal Business Name): TROY R YPMA O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 3RD AVE E
COLUMBIA FALLS MT
59912-3607
US

IV. Provider business mailing address

1128 3RD AVE E
COLUMBIA FALLS MT
59912
US

V. Phone/Fax

Practice location:
  • Phone: 406-892-4140
  • Fax: 406-892-4146
Mailing address:
  • Phone: 406-892-4140
  • Fax: 406-892-4146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number768
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: