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 | Optometry |
Experience | 45 Years |
Location | 134 N State St, Preston, Idaho |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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 |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Eye Care For You Llc | 1951466481 | 3 |
Eye Care For You Llc | 1951466481 | 3 |
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 | |
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 |