MEDICARE: FELTON EYECARE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255909511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELTON EYECARE, PLLC

Provider Business Mailing Address
First Line	:	2230 N RESERVE ST STE 330
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1364
Country	:	US
Telephone Number	:	406-360-8280
Fax Number	:

Provider Business Practice Location Address
First Line	:	2230 N RESERVE ST STE 330
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-1364
Country	:	US
Telephone Number	:	406-360-8280
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. TY WILLIAM FELTON
Credential	:	OPTOMETRIST
Telephone Number	:	406-360-8280

Provider Enumeration Date	:	06/14/2021
Last Update Date	:	05/22/2026

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