MEDICARE: DR. TRAER GARY CAYWOOD O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	91-111585-9934	UT
2	152WC0802X	Corneal and Contact Management Optometrist	91-111585-9934	UT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164414744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRAER GARY CAYWOOD O.D.

Provider Business Mailing Address
First Line	:	555 E BROADWAY AVE STE 214
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001-8640
Country	:	US
Telephone Number	:	307-733-1051
Fax Number	:	307-733-0686

Provider Business Practice Location Address
First Line	:	555 E BROADWAY AVE STE 214
Second Line	:
City	:	JACKSON
State	:	WY
Zip	:	83001-8640
Country	:	US
Telephone Number	:	307-733-1051
Fax Number	:	307-733-0686

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	09/16/2025

Similar Medicare Providers

1194744235 — TETON COUNTY HOSPITAL DISTRICT
Practice Location Address:

555 E BROADWAY AVE , STE 115
JACKSON, WY
83001-8640

Practice Phone: 307-739-7465
Practice Fax: 307-739-7645

1568493989 — TETON COUNTY HOSPITAL DISTRICT
Practice Location Address:

555 E BROADWAY AVE , SUITE #115
JACKSON, WY
83001-8640

Practice Phone: 307-739-7465
Practice Fax: 307-739-7645

1699752089 — KATHLEEN M LOGAN M.D.
Practice Location Address:

555 E BROADWAY AVE STE 204
JACKSON, WY
83001-8640

Practice Phone: 307-739-4818
Practice Fax: 888-329-5701

1659345221 — DR. MICHAEL WARD ROSENBERG M.D.
Practice Location Address:

555 E BROADWAY AVE , SUITE #229
JACKSON, WY
83001-8640

Practice Phone: 307-739-7690
Practice Fax: 307-739-7644

1467400747 — GLENN EDWARD BURNETT II MD
Practice Location Address:

555 E BROADWAY AVE STE 201
JACKSON, WY
83001-8640

Practice Phone: 307-733-7222
Practice Fax: 307-733-9720

1669423273 — MAURA JEAN LOFARO M.D.
Practice Location Address:

555 E BROADWAY AVE , SUITE 108
JACKSON, WY
83001-8640

Practice Phone: 307-734-1005
Practice Fax: 307-734-1165

Directions to “ DR. TRAER GARY CAYWOOD O.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.