Organization Active NPI

Isabel a. Cruz OD PA

  • Optometrist
  • Houston, TX
National Provider Identifier
1740469550
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6278 Issued in TX
Legal business name
ISABEL A. CRUZ OD PA
Practice address
415 W Little York Rd
Ste E
Houston, TX 77076-1349
Phone
(713) 699-2020
Fax
(713) 697-2016
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Authorized official

Name
Dr. Isabel Ann Cruz, ODNPI 1275735680
Title
President
Phone
(713) 699-2020

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 6278 TX Primary

Addresses

Primary practice location

415 W Little York Rd
Ste E
Houston, TX 77076-1349

Mailing address

415 W Little York Rd
Ste E
Houston, TX 77076-1349
Phone (713) 699-2020

Other names 1

  • Vista EyeCare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080530000103 TX Part B Supplier - Clinic/Group Practice 8921178104 Receives reassigned benefits from 2 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

415 W Little York Rd
Ste E
Houston, TX 77076
Phone (713) 699-2020

Practitioners & affiliated clinicians

Practitioners 2

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": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227225600000",
    "number": "1740469550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W LITTLE YORK RD",
            "address_2": "STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761349",
            "telephone_number": "713-699-2020",
            "fax_number": "713-697-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W LITTLE YORK RD",
            "address_2": "STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770761349",
            "telephone_number": "713-699-2020",
            "fax_number": "713-697-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISABEL A. CRUZ OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-11-21",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-699-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vista EyeCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.