Marissa Cruz

Primary specialty

OptometristTaxonomy code 152W00000X

License

6295 Issued in FL

Practice address

2521 NW 41St St
Gainesville, FL 32606-6630

Phone

(352) 377-7733

Fax

(352) 377-9577

NPI assigned

Jul 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newsom Eye and Laser Center IncGroup PAC ID 0648241190, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Newsom Eye & Laser Center Inc

  • Ophthalmology Physician
  • Tampa, FL
  • NPI 1619963493

  Optometrist

  Medicare reassignment Care Compare group NPD
• Newsom Eye & Laser Center, Inc.

  • Ophthalmology Physician
  • Clearwater, FL
  • NPI 1316615891

  Optometrist

  NPD
• National Vision Inc

  • Optometrist
  • Lutz, FL
  • NPI 1801454475
  NPD (past)
• Newsom Eye & Laser Center, Inc.

  • Optometrist
  • Brooksville, FL
  • NPI 1801514955
  NPD (past)

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1841979937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13904 N DALE MABRY HWY STE 200",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182446",
            "telephone_number": "813-908-2020",
            "fax_number": "813-908-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 NW 41ST ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066630",
            "telephone_number": "352-377-7733",
            "fax_number": "352-377-9577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25605 Sierra Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335597607",
            "country_code": "US",
            "telephone_number": "813-345-3926",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13904 N Dale Mabry Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336182446",
            "country_code": "US",
            "telephone_number": "813-908-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRUZ",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Cruz-Knopf
• Amelia C. Cruz, MD
• Evelyn Cruz
• John Slater Cruz, DO
• Mariah Cruz, DO
• Rachel De Oliveira Cruz, PA-C
• Raquel E Cruz
• Shanti Marie Cruz
• Carlos Cuadros, MD
• Francisco Isaac Cubero, MSW

• Optometrist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.