GRAND TETON EYE & OPTICAL

JACKSON, WY
NPI1306983655
Entity TypeOrganization
Authorized ContactCHAD LEWIS ROBERTS
Owner
208-787-2088
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  ODP-100010)
Enumeration Date2007-01-30
Last Update Date2007-10-10
Business Address
GRAND TETON EYE & OPTICAL
110 BUFFALO WAY STE A
JACKSON, WY 83002-8460
Phone number: 307-733-4905
Mailing Address
GRAND TETON EYE & OPTICAL
PO BOX 613
VICTOR, ID 83455-0613
Phone number: 208-787-2088
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