Astrogeodetic deflections of the vertical (DoVs) are close indicators of the slope of the geoid. Thus, DoVs observed along horizontal profiles may be integrated to create geoid undulation profiles. In this study, we collected DoV data in the Eastern Swiss Alps using a Swiss Digital Zenith Camera, the COmpact DIgital Astrometric Camera (CODIAC), and two total station-based QDaedalus systems. In the mountainous terrain of the Eastern Swiss Alps, the geoid profile was established at 15 benchmarks over a two-week period in June 2021. The elevation along the profile ranges from 1185 to 1800 m, with benchmark spacing ranging from 0.55 km to 2.10 km. The DoV, gravity, GNSS, and levelling measurements were conducted on these 15 benchmarks. The collected gravity data were primarily used for corrections of the DoV-based geoid profiles, accounting for variations in station height and the geoid-quasigeoid separation. The GNSS/levelling and DoV data were both used to compute geoid heights. These geoid heights are compared with the Swiss Geoid Model 2004 (CHGeo2004) and two global gravity field models (EGM2008 and XGM2019e). Our study demonstrates that absolute geoid heights derived from GNSS/leveling data achieve centimeter-level accuracy, underscoring the precision of this method. Comparisons with CHGeo2004 predictions reveal a strong correlation, closely aligning with both GNSS/leveling and DoV-derived results. Additionally, the differential geoid height analysis highlights localized variations in the geoid surface, further validating the robustness of CHGeo2004 in capturing fine-scale geoid heights. These findings confirm the reliability of both absolute and differential geoid height calculations for precise geoid modeling in complex mountainous terrains.