Teton Retinal Institute PA
NPI 1437274057ActiveOrganization· Ophthalmology· Ammon, ID
Ophthalmology in Ammon, Idaho, registered in NPPES in March 2007. The authorized official on file is Darryl G. Moffett, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437274057 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 20, 2007 |
| Last updated in NPPES | Nov 18, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Ophthalmology Primary | 207W00000X | M6263 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (ID) |
|---|
Other Ophthalmology providers in Ammon
- 1003858465