Teton Valley Vision PC

NPI #1073918173 in Victor, Idaho

Provider Information

NPI Number: 1073918173
Entity Type: Organization
Organization Name: Teton Valley Vision PC
Primary Specialty: Optometrist
Enumeration Date: Oct 31, 2014
Last Updated: Oct 31, 2014

Practice Location

Address: 7389 S HWY 33
Address 2: STE B
City: Victor
State: Idaho
ZIP Code: 83455
Phone: (208) 787-3937

Authorized Official

Name: THOMAS SIMMONS, O.D.
Title: OWNER
Phone: 20878739397

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Thomas L Simmons	Optometrist	Victor	AI Deep Dive

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