Provider Demographics
NPI:1861748899
Name:CROMER, DAN NHI VU (OD)
Entity type:Individual
Prefix:DR
First Name:DAN NHI
Middle Name:VU
Last Name:CROMER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:DANNHI
Other - Middle Name:
Other - Last Name:CROMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OD
Mailing Address - Street 1:2328 CITADEL WAY STE 103
Mailing Address - Street 2:#302
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32940
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4305 PINEDA CSWY
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32940-2316
Practice Address - Country:US
Practice Address - Phone:321-428-2925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-27
Last Update Date:2023-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002686152W00000X
FLOPC4799152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist