Organization
EYE CARE FOR YOU, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP GILBERT CROMWELL O.D. (PRESIDENT)
(208) 852-3030
Entity
Organization
Contact information
Practice address
134 N STATE ST, SUITE A, PRESTON, ID 83263-1143
(208) 852-3030
(208) 852-3031
Mailing address
134 N STATE ST, SUITE A, PRESTON, ID 83263-1143
(208) 852-3030
(208) 852-3031
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-0607
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001236100
—
ID
01
—
410046662
RAILROAD MEDICARE
ID
Enumeration date
01/02/2007
Last updated
02/05/2008
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