NPI age
19 years
Enumerated 2007-03-20
● Active Type 2 · Organization
Teton Retinal Institute PA
Teton Retinal Institute PA is 1 of 122 ophthalmology organizations in Idaho.
Primary specialty
Ophthalmology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Moffett
President
Last NPPES update
2015-11-18
Source: monthly bulk 2026-05
How this organization compares
Across 122 active ophthalmology providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-03Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
3544 E 17th St, Ste 105
Ammon, ID 834066911
Mailing address
3544 E 17th St, Ste 105
Ammon, ID 834066911
Authorized official
Darryl G Moffett, MD
President
📞 2085354900
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Jennifer Boehm, LPC Counselor NPI 1689713224
- Darryl Moffett, M.D. Ophthalmology NPI 1003858465
Specialties
-
Ophthalmology PrimaryAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8G320 | BLUE CROSS GROUP |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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