Michael Jay Pascua Dela Cruz

Primary specialty

OpticianTaxonomy code 156FX1800X

License

156972 Issued in AK

Practice address

1545 N Heather Meadows Loop
Anchorage, AK 99507-3866

Phone

(907) 360-5325

NPI assigned

Apr 6, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1982399077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N HEATHER MEADOWS LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N HEATHER MEADOWS LOOP",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995073866",
            "telephone_number": "907-360-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELA CRUZ",
        "first_name": "MICHAEL JAY",
        "middle_name": "PASCUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "AK",
            "license": "156972",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "568946544",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "5874",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecelia Dekorne
• Karen Del Carpio, CNA
• Robinson Del Rosario Hidalgo
• Jennie Encabo Del Rosario, LMT
• Lorenzo Del Rosario
• Mark Daniel Dela Torre
• Tawney Delaney
• Tessa Delaney, O.D.
• Tynesha Delaney
• Flora Delarosa

• Optician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Optician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.