MEDICARE: ANNE BILYEU CRISLER CROMER OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2023-0005	NM
2	152W00000X	Optometrist	586	NV

General Provider Information

NPI Number	:	1376743443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE BILYEU CRISLER CROMER OD

Provider Business Mailing Address
First Line	:	303 MULBERRY ST NE
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87106-4739
Country	:	US
Telephone Number	:	505-900-3467
Fax Number	:	505-842-0650

Provider Business Practice Location Address
First Line	:	3819 W SAHARA AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89102-0506
Country	:	US
Telephone Number	:	702-341-7254
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	04/09/2024

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