Individual provider Active NPI

Dan Nhi Vu Cromer, O.D.

  • Optometrist
  • Melbourne, FL
National Provider Identifier
1861748899
Registry record updated Jan 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4799 Issued in FL
Practice address
4305 Pineda Cswy
Melbourne, FL 32940-2316
Phone
(321) 428-2925
NPI assigned
Jul 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG002686 PA
Optometrist 152W00000X OPC4799 FL Primary

Addresses

Primary practice location

4305 Pineda Cswy
Melbourne, FL 32940-2316

Mailing address

2328 Citadel Way Ste 103
#302
Melbourne, FL 32940

Other names 1

  • Dannhi Cromer Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address drcromer@lookeye2eye.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150423002161 FL Practitioner - Optometry 5799938916 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC4799FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
William D. Tanke, OD, PA Optometrist CurrentSince Nov 1, 2018 Accepting new patients

Locations

1813 W New Haven Ave
West Melbourne, FL 32904
Phone (321) 951-2020

Organizations & group practices 1

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673136000000",
    "number": "1861748899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2328 CITADEL WAY STE 103",
            "address_2": "#302",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "32940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4305 PINEDA CSWY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402316",
            "telephone_number": "321-428-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROMER",
        "first_name": "DAN NHI",
        "middle_name": "VU",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2023-01-08",
        "certification_date": "2023-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG002686",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drcromer@lookeye2eye.com",
            "affiliation": "N",
            "address_1": "4305 Pineda Cswy",
            "city": "Melbourne",
            "state": "FL",
            "country_code": "US",
            "postal_code": "329402316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANNHI",
            "last_name": "CROMER",
            "credential": "O.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.