Provider Demographics
NPI:1376743443
Name:CROMER, ANNE BILYEU CRISLER (OD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:BILYEU CRISLER
Last Name:CROMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:303 MULBERRY ST NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-4739
Mailing Address - Country:US
Mailing Address - Phone:505-900-3467
Mailing Address - Fax:505-842-0650
Practice Address - Street 1:3819 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-0506
Practice Address - Country:US
Practice Address - Phone:702-341-7254
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM2023-0005152W00000X
NV586152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV105642Medicare PIN
NVV105641Medicare PIN