Active NPI
De la Cruz Eye Clinic PLLC
- Optometrist
- Laredo, TX
National Provider Identifier
1669727418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 7268TG
- Legal business name
- DE LA CRUZ EYE CLINIC PLLC
- Practice address
- 7807 McPherson Rd
Suite 204
Laredo, TX 78045-2813 - Phone
- (956) 722-5050
- NPI assigned
- Jul 18, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Omar De la Cruz
- Title
- Owner/Optometrist
- Phone
- (956) 722-5050
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 7268TG | TX | Primary |
Addresses
Primary practice location
7807 McPherson Rd
Suite 204
Laredo, TX 78045-2813
Mailing address
7807 McPherson Rd
Suite 204
Laredo, TX 78045-2813
Phone (956) 722-5050
Other names 1
- Today's Vision - Laredo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120920000104 | TX | Part B Supplier - Clinic/Group Practice | 5698923464 |
Receives reassigned benefits from 1 practitioner Practice locations: Laredo, TX |
National Provider Directory
National Provider DirectoryLocations
7807 McPherson Rd
Ste 204
Laredo, TX 78045
Phone (210) 614-3333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Laredo, TX
- NPI 1770748253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342569600000",
"number": "1669727418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7807 MCPHERSON RD",
"address_2": "SUITE 204",
"city": "LAREDO",
"state": "TX",
"postal_code": "780452813",
"telephone_number": "956-722-5050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7807 MCPHERSON RD",
"address_2": "SUITE 204",
"city": "LAREDO",
"state": "TX",
"postal_code": "780452813",
"telephone_number": "956-722-5050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DE LA CRUZ EYE CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-07-18",
"last_updated": "2012-07-18",
"status": "A",
"authorized_official_last_name": "DE LA CRUZ",
"authorized_official_first_name": "OMAR",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "956-722-5050",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "TX",
"license": "7268TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Today's Vision - Laredo",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.