Organization Active NPI

Eye Care for You, P.C.

  • Optometrist
  • Preston, ID
National Provider Identifier
1457418253
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ODP-0607 Issued in ID
Legal business name
EYE CARE FOR YOU, P.C.
Practice address
134 N State St
Suite a
Preston, ID 83263-1143
Phone
(208) 852-3030
Fax
(208) 852-3031
NPI assigned
Jan 2, 2007
Last updated
Feb 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2008

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

Authorized official

Name
Dr. Philip Gilbert Cromwell, O.D.NPI 1720194632
Title
President
Phone
(208) 852-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X ODP-0607 ID Primary

Addresses

Primary practice location

134 N State St
Suite a
Preston, ID 83263-1143

Mailing address

134 N State St
Suite a
Preston, ID 83263-1143
Phone (208) 852-3030

Other identifiers 2

IdentifierTypeStateIssuer
001236100MedicaidID
410046662OtherIDRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

134 N State St
#A
Preston, ID 83263
Phone (208) 852-3030

39 E 400 N
Logan, UT 84321
Phone (435) 752-6453

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1457418253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N STATE ST",
            "address_2": "SUITE A",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631143",
            "telephone_number": "208-852-3030",
            "fax_number": "208-852-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N STATE ST",
            "address_2": "SUITE A",
            "city": "PRESTON",
            "state": "ID",
            "postal_code": "832631143",
            "telephone_number": "208-852-3030",
            "fax_number": "208-852-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE FOR YOU, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "CROMWELL",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-852-3030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ID",
            "license": "ODP-0607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001236100",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410046662",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Preston, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.