MEDICARE: ERIC CROSS 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	0618002042	VA
2	152W00000X	Optometrist	18003694A	IN
3	152W00000X	Optometrist	0003046	CO

General Provider Information

NPI Number	:	1588951990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC CROSS OD

Provider Business Mailing Address
First Line	:	8499 E LOWRY BLVD APT 310
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80230-7266
Country	:	US
Telephone Number	:	219-229-4899
Fax Number	:

Provider Business Practice Location Address
First Line	:	910 16TH ST STE 524
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80202-2921
Country	:	US
Telephone Number	:	303-534-8811
Fax Number	:	303-825-0109

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

Provider Enumeration Date	:	07/06/2011
Last Update Date	:	09/05/2024

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Directions to “ ERIC CROSS OD” Practice Location

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