Provider Demographics
NPI:1831291525
Name:NEWBY, FLETE CURTIS (OD)
Entity Type:Individual
Prefix:DR
First Name:FLETE
Middle Name:CURTIS
Last Name:NEWBY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 N MONTANA AVE
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-7813
Mailing Address - Country:US
Mailing Address - Phone:406-443-8860
Mailing Address - Fax:406-443-2282
Practice Address - Street 1:2195 E CUSTER AVE
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-1217
Practice Address - Country:US
Practice Address - Phone:406-495-7053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-02
Last Update Date:2017-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT724 OPT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT82519Medicare UPIN