Individual provider Active NPI

Anne Bilyeu Crisler Cromer, OD

  • Optometrist
  • Las Vegas, NV
National Provider Identifier
1376743443
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
586 Issued in NV
Practice address
3819 W Sahara Ave
Las Vegas, NV 89102-0506
Phone
(702) 341-7254
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2023-0005 NM
Optometrist 152W00000X 586 NV Primary

Addresses

Primary practice location

3819 W Sahara Ave
Las Vegas, NV 89102-0506

Mailing address

303 Mulberry St NE
Albuquerque, NM 87106-4739
Phone (505) 900-3467

Other practice location 1

303 Mulberry St NE
Albuquerque, NM 87106-4739
Phone (505) 900-3467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250304003881 NM Practitioner - Optometry 9436236569 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

303 Mulberry St NE
Albuquerque, NM 87106-4739
Phone (505) 243-9739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023-0005NMMDOptometrist
586NVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Eye Care/Children'S Eye Center of New Mexico, P.C. CurrentSince Dec 27, 2024 Accepting new patients
H Kenneth Kopolow O.D & Assoc P.C Optometrist Past Accepting new patients

Locations

303 Mulberry St NE
Albuquerque, NM 87106
Phone (505) 243-9739

303 Mulberry St NE
Ste D
Albuquerque, NM 87106
Phone (505) 243-9739

Interoperability endpoints

  • Direct secure messaging: acromer@familyeyecarecenter.direct.eyemdemr.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1376743443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 MULBERRY ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871064739",
            "telephone_number": "505-900-3467",
            "fax_number": "505-842-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020506",
            "telephone_number": "702-341-7254"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Mulberry St NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871064739",
            "country_code": "US",
            "telephone_number": "505-900-3467",
            "fax_number": "505-842-0650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROMER",
        "first_name": "ANNE",
        "middle_name": "BILYEU CRISLER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2023-0005",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.