Grand Teton Eye & Optical

NPI #1306983655 in Jackson, Wyoming

Provider Information

NPI Number: 1306983655
Entity Type: Organization
Organization Name: Grand Teton Eye & Optical
Primary Specialty: Optometrist
Enumeration Date: Jan 30, 2007
Last Updated: Oct 10, 2007

Practice Location

Address: 110 BUFFALO WAY STE A
City: Jackson
State: Wyoming
ZIP Code: 83002-8460
Phone: (307) 733-4905

Authorized Official

Name: DR. CHAD LEWIS ROBERTS, OD
Title: OWNER
Phone: (208) 787-2088

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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