Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY PAUL GRAVIET, O.D.
ActiveDR. JEFFREY PAUL GRAVIET, O.D. is a Optometrist healthcare provider located in STAR, Idaho. NPI 1831148105 is currently active in the NPPES registry. Verify at CMS.
Optometrist · STAR, ID
Registration Details
- NPI Number
- 1831148105
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 6, 2006 (20.255315091434 yrs)
- Last Updated
- Sep 17, 2012
- License
-
ODP-1021 (ID)
Practice Information
- Address
-
170 S SENECA SPRINGS WAYSTE 100STAR, ID, 836695938Browse ID providers · Browse ZIP 83669
- Phone
- 2088984112
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.