Individual
DR. TRAER GARY CAYWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
555 E BROADWAY AVE STE 214, JACKSON, WY 83001-8640
(307) 733-1051
(307) 733-0686
Mailing address
555 E BROADWAY AVE STE 214, JACKSON, WY 83001-8640
(307) 733-1051
(307) 733-0686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
91-111585-9934
UT
152WC0802X
Corneal and Contact Management Optometrist
91-111585-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156816700
—
WY
05
—
529867420
—
UT
Enumeration date
08/18/2005
Last updated
09/16/2025
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