MEDICARE: TOM FELSTET OD, 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	MT7260	MT

General Provider Information

NPI Number	:	1285172544
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOM FELSTET OD, PLLC

Provider Business Mailing Address
First Line	:	4515 RIMROCK RD
Second Line	:
City	:	BILLINGS
State	:	MT
Zip	:	59106-1414
Country	:	US
Telephone Number	:	406-698-3476
Fax Number	:

Provider Business Practice Location Address
First Line	:	1331 24TH ST W
Second Line	:	STE B
City	:	BILLINGS
State	:	MT
Zip	:	59102-3860
Country	:	US
Telephone Number	:	406-534-1866
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	TOM FELSTET
Credential	:	OD
Telephone Number	:	406-698-3476

Provider Enumeration Date	:	02/07/2017
Last Update Date	:	02/07/2017

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