Grand Teton Eye & Optical

LBN: Grand Teton Eye & Optical
Grand Teton Eye & Optical is an health care organization with primary practice located at 110 Buffalo Way Ste A , Jackson WY 83002-8460. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Grand Teton Eye & Optical can be contacted via phone (307) 733-4905, or through Roberts, Chad Lewis via phone (208) 787-2088.

Contact Information

Primary practice address
110 Buffalo Way Ste A Jackson WY 83002-8460
Phone: (307) 733-4905
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Chad Lewis Doctor of Optometry (OD)
Phone: (208) 787-2088

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100010 Idaho

Profile Details

NPI number 1306983655
LBN Legal business name Grand Teton Eye & Optical
DBA Doing business as
Authorized official Roberts, Chad Lewis Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Oct 10th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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