Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Teton Retinal Institute PA

Organization Ophthalmology Physician · NPI 1437274057

Teton Retinal Institute PA is an Ophthalmology Physician in Ammon, Idaho. Licensed in Idaho. Registered with an NPI since 2007.

Licensed in
ID
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3544 E 17th St Ste 105
Ammon, ID 83406-6911
Phone: (208) 535-4900
Fax: (208) 535-4906
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence M6263 (ID)

Record details

NPI number1437274057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darryl Moffett — President · (208) 535-4900
NPI enumeratedMarch 20, 2007
Last updated in NPPESNovember 18, 2015
Mailing address3544 E 17th St, Ste 105, Ammon, ID 83406-6911

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