NPIMap

Individual provider Active NPI

Zachary Andrew Cruz, OD

  • Optometrist
  • Valley Center, CA
National Provider Identifier
1699403253
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35157 Issued in CA
Practice address
29115 Valley Center Rd Ste E
Valley Center, CA 92082-6553
Phone
(760) 751-8771
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35157 CA Primary

Addresses

Primary practice location

29115 Valley Center Rd Ste E
Valley Center, CA 92082-6553

Mailing address

18725 Caminito Cantilena Apt 102
San Diego, CA 92128-6149
Phone (209) 352-4723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230509000722 AZ Practitioner - Optometry 5193109205 Reassigns benefits to 1 organization
I20240701000299 TX Practitioner - Optometry 5193109205 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ton San Xavier Health CenterGroup PAC ID 6608819339, 23 clinicians
Ton Sells HospitalGroup PAC ID 5092768663, 51 clinicians

Practice addresses (Care Compare)

7900 S J Stock Rd
Tucson, AZ 85746-7012
Phone (520) 547-8142

Highway 86 at Topawa Rd
Sells Indian Hospital
Sells, AZ 85634
Phone (520) 383-7285

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35157CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vista Eye Care, PLC Optometrist CurrentSince May 2, 2023 Accepting new patients
Ton San Simon Health Center CurrentSince May 30, 2024 Accepting new patients
Valley Center Optometry Apc Optometrist CurrentSince Aug 14, 2022 Accepting new patients
Ton San Simon Health Center CurrentSince Nov 24, 2024 Accepting new patients
Ton San Xavier Health Center CurrentSince May 30, 2024 Accepting new patients
Ton Santa Rosa Health Center CurrentSince May 30, 2024 Accepting new patients
Ton Sells Hospital CurrentSince May 30, 2024 Accepting new patients
Catalina Eye Care PC PastSince May 2, 2023 Accepting new patients
Ton Santa Rosa Health Center Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

560 E Continental Rd
Unit 104
Green Valley, AZ 85614
Phone (520) 576-5110

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

29115 Valley Center Rd
Ste E
Valley Center, CA 92082
Phone (760) 751-8771

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1699403253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18725 CAMINITO CANTILENA APT 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921286149",
            "telephone_number": "209-352-4723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29115 VALLEY CENTER RD STE E",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920826553",
            "telephone_number": "760-751-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "ZACHARY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

Verify at the official NPI Registry.