Individual provider Active NPI

Omar De la Cruz, O.D.

  • Optometrist
  • Laredo, TX
National Provider Identifier
1770748253
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7268T Issued in TX
Practice address
7807 McPherson Rd Ste 204
Laredo, TX 78045-2801
Phone
(956) 722-5050
Fax
(956) 568-3596
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 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 7268T TX Primary

Addresses

Primary practice location

7807 McPherson Rd Ste 204
Laredo, TX 78045-2801

Mailing address

7807 McPherson Rd Ste 204
Laredo, TX 78045-2801
Phone (956) 722-5050

Other identifiers 1

IdentifierTypeStateIssuer
197376001MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081015000399 TX Practitioner - Optometry 7719045053 Reassigns benefits to 1 organization
I20250924004174 CA Practitioner - Marriage and Family Therapist 7719045053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7807 McPherson Rd
Suite 204
Laredo, TX 78045-2801
Phone (956) 722-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7268TXMDChiropractor
7268TTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Jul 12, 2025 Accepting new patients
De la Cruz Eye Clinic PLLC Optometrist CurrentSince Aug 1, 2012 Accepting new patients
Flores Eye Care Clinic, PC Optometrist PastSince May 1, 2008 Accepting new patients
Timithy M Dunham MD PA Optometrist PastSince Aug 1, 2012 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

7807 McPherson Rd
Ste 204
Laredo, TX 78045
Phone (210) 614-3333

Organizations & group practices 4

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1770748253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 MCPHERSON RD STE 204",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452801",
            "telephone_number": "956-722-5050",
            "fax_number": "956-568-3596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 MCPHERSON RD STE 204",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780452801",
            "telephone_number": "956-722-5050",
            "fax_number": "956-568-3596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA CRUZ",
        "first_name": "OMAR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7268T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "197376001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.