Individual provider Active NPI

Eduardo Cruz-Aragon, OD

  • Optometrist
  • Merced, CA
National Provider Identifier
1689447633
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35629 Issued in CA
Practice address
1212 W Olive Ave
Merced, CA 95348-1662
Phone
(859) 436-6632
NPI assigned
Nov 1, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35629 CA Primary

Addresses

Primary practice location

1212 W Olive Ave
Merced, CA 95348-1662

Mailing address

1212 W Olive Ave
Merced, CA 95348-1662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241127002060 CA Practitioner - Optometry 5799210753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Eyes Optometry IncGroup PAC ID 5698956449, 6 clinicians

Practice addresses (Care Compare)

2690 E Bidwell St
Suite 500
Folsom, CA 95630-6432
Phone (916) 983-6838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35629CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Eyes Optometry Inc Optometrist CurrentSince Dec 4, 2024 Accepting new patients
National Vision Inc Optometrist PastSince Nov 1, 2023 Accepting new patients

Locations

4917 Golden Foothill Pkwy
Ste A
El Dorado Hills, CA 95762
Phone (916) 934-2689

2690 E Bidwell St
Ste 500
Folsom, CA 95630
Phone (916) 549-6728

197 W El Portal Dr
Merced, CA 95348

197 W El Portal Dr
Ste A
Merced, CA 95348
Phone (209) 384-2110

1287 Broadway
Placerville, CA 95667
Phone (530) 622-1711

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1689447633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 W OLIVE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 W OLIVE AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953481662",
            "telephone_number": "859-436-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ-ARAGON",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-01",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

Verify at the official NPI Registry.