Grand Teton Eye & Optical in Jackson - Optometrist
Grand Teton Eye & Optical - NPI 1306983655
Grand Teton Eye & Optical is a Optometrist in Jackson, . Grand Teton Eye & Optical practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Grand Teton Eye & Optical is 1306983655. The last update date is 2007-10-10.
Grand Teton Eye & Optical's current location address is 110 Buffalo Way Ste A, Jackson, . You can contact this provider via phone number 3077334905. The mailing address for Grand Teton Eye & Optical is 110 Buffalo Way Ste A, Jackson, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand Teton Eye & Optical |
|---|---|
| Address | 110 Buffalo Way Ste A, Jackson, |
| Phone Number | 3077334905 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Roberts Lewis Chad |
| Credentials | OD |
| Telephone Number | 2087872088 |
NPI Number Detail
| NPI Number | 1306983655 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2007-10-10 |
Provider Mailing Address Detail
| Address | 110 Buffalo Way Ste A |
|---|---|
| City | Jackson |
| State | (WY) |
| Post Code | 8300284600 |
| Phone Number | 3077334905 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | ODP-100010 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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What is the unique 10-digit identification code issued to Grand Teton Eye & Optical by the Centers for Medicare & Medicaid Services?
The Grand Teton Eye & Optical has been assigned the NPI (National Provider Identifier) 1306983655 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Grand Teton Eye & Optical is located?
The Grand Teton Eye & Optical is situated at the following address: 110 Buffalo Way Ste A, Jackson, WY, 8300284600.
What is the Grand Teton Eye & Optical's area of specialization and corresponding taxonomy classification?
The Grand Teton Eye & Optical's specialty field is Optometrist, and it falls under the taxonomy code 152W00000X, which categorizes healthcare providers based on their specialties.
When did the Grand Teton Eye & Optical receive its 1306983655?
The Grand Teton Eye & Optical was issued its 1306983655 on 2007-01-30, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Grand Teton Eye & Optical most recently updated or revised?
The details related to Grand Teton Eye & Optical, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-10.