MEDICARE: COLUMBIA FALLS EYECARE, PC

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	768	MT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	610936600	OTHER	MT	DOL PROVIDER NUMBER

General Provider Information

NPI Number	:	1285831370
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COLUMBIA FALLS EYECARE, PC

Provider Business Mailing Address
First Line	:	1128 3RD AVE E
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912
Country	:	US
Telephone Number	:	406-892-4140
Fax Number	:	406-892-4146

Provider Business Practice Location Address
First Line	:	1128 3RD AVE E
Second Line	:
City	:	COLUMBIA FALLS
State	:	MT
Zip	:	59912
Country	:	US
Telephone Number	:	406-892-4140
Fax Number	:	406-892-4146

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. TROY R YPMA
Credential	:	O.D.
Telephone Number	:	406-892-4140

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	12/04/2025

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