| Dr Philip Gilbert Cromwell, OD | |
|
134 N State St, Suite A, Preston, ID 83263-1143 | |
| (208) 852-3030 | |
| (208) 852-3031 |
| Full Name | Dr Philip Gilbert Cromwell |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 134 N State St, Preston, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720194632 | NPI | - | NPPES |
| 1720194632 | Medicaid | ID | |
| 1720194632 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODP607 (Idaho) | Secondary |
| 152W00000X | Optometrist | 1109189934 (Utah) | Primary |
| Provider Name | Eye Care For You Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548405327 PECOS PAC ID: 1951466481 Enrollment ID: O20090324000293 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Philip Gilbert Cromwell, OD 134 N State St, Suite A, Preston, ID 83263-1143 Ph: (208) 852-3030 | Dr Philip Gilbert Cromwell, OD 134 N State St, Suite A, Preston, ID 83263-1143 Ph: (208) 852-3030 |
Lance Henderson, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 134 N State St, Preston, ID 83263 Phone: 208-852-3030 | |
Eyecare Specialties Of Idaho Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 N State St, Preston, ID 83263 Phone: 618-462-9818 | |
Eye Care For You, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 134 N State St, Suite A, Preston, ID 83263 Phone: 208-852-3030 Fax: 208-852-3031 | |
Eye Care For You Llc Optometrist Medicare: Medicare Enrolled Practice Location: 134 N State St, Suite A, Preston, ID 83263 Phone: 208-852-3030 Fax: 208-852-3031 |