Graviet, Jeffrey Paul

Graviet, Jeffrey Paul is an individual health care provider with primary practice located at 170 S Seneca Springs Way Ste 100, Star ID 83669-5938. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Graviet, Jeffrey Paul can be contacted via phone (208) 898-4112.

Contact Information

Primary practice address
170 S Seneca Springs Way Ste 100 Star ID 83669-5938
Phone: (208) 898-4112
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-1021 Idaho

Profile Details

NPI number 1831148105
LBN Legal business name Graviet, Jeffrey Paul
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2006
Last updated Sep 17th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831148105 NPPES
Idaho MEDICAID 807258500

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