Organization Active NPI

De la Cruz Eye Clinic PLLC

  • Optometrist
  • Laredo, TX
National Provider Identifier
1669727418
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7268TG Issued in TX
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

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Dr. Omar De la CruzNPI 1770748253
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120920000104 TX Part B Supplier - Clinic/Group Practice 5698923464 Receives reassigned benefits from 1 practitioner
Practice locations: Laredo, TX

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.