DR. MACIEL CRUZ (NPI# 1699320010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699320010 |
| Entity Type | Individual |
| Full Name | DR. MACIEL CRUZ |
| Credential | OD |
| Practice Address |
4738 Broadway New York NY 10040-1103 |
| Practice Telephone | 6466617615 |
| Practice Fax Number | 6466617615 |
| Mailing Telephone | 6466617615 |
| Mailing Fax Number | 6466617617 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 009105 | NY | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | OEG003600 | PA | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1150b Webster Avenue, Bronx, NY 104561045 | 3473310717 | 3473310718 |
| Street Address |
4738 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10040-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205037363 | Jason Compton | Optometrist | 4738 Broadway, New York, NY 10040-1103 | 2007-05-29 |
| 1023416393 | Compton Optometry PC | Optometrist | 4738 Broadway, New York, NY 10040-1103 | 2014-12-18 |
| 1235408576 | Tatiana A Pavlova Md | Clinic/Center | 4738 Broadway, New York, NY 10040-1103 | 2011-12-15 |
| 1497043400 | Mosaic Medical, P.C. | Anesthesiology | 4738 Broadway, New York, NY 10040-1103 | 2011-07-12 |
| 1538300793 | Kheng-joon Lim | Chiropractor | 4738 Broadway, New York, NY 10040-1103 | 2009-03-18 |
| 1114163417 | Jean D. Miller Do | Clinic/Center | 4738 Broadway, New York, NY 10040-1103 | 2008-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922550854 | Dahina Tavarez | Social Worker | 607w 190th St Apt 2d, New York, NY 10040 | 2016-10-26 |
| 1518418011 | Andres M. Pereira M.d.p.c. | Family Medicine | 47 Sickles St Suite 1a, New York, NY 10040 | 2016-10-19 |
| 1003281692 | Sandra Feliz | Specialist | 34 Bogardus Place Apt 2a, New York, NY 10040 | 2015-12-08 |
| 1790179562 | G Home Companion Services, Inc. | In Home Supportive Care | 25 Nagle Ave Apt # 5a, New York, NY 10040 | 2015-03-19 |
| 1669810503 | Sandra I. Morban | Licensed Practical Nurse | 45 Thayer St. #5g, New York, NY 10040 | 2013-06-13 |
| 1679814248 | Zheng Zhou | Psychologist | 340 Cabrini Blvd, Apt 203, New York, NY 10040 | 2013-03-07 |
| 1710253323 | Miriam P Bacon | Physical Therapist | 12-18 Ellwood Street, New York, NY 10040 | 2012-03-28 |
| 1730455593 | Alyssa Marie Corr | Occupational Therapist | 1218 Ellwood Street, Ny, NY 10040 | 2012-03-27 |
| 1801160254 | Claire Gordon | Speech-Language Pathologist | 802 West 190 St., #2-g, New York, NY 10040 | 2012-03-02 |
| 1548542483 | Samuel Emerson Carlisle | Social Worker | 4530 Broadway 4e, New York, NY 10040 | 2011-09-16 |
| Find all providers in zip 10040 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129813 | Kajal Kirti Patel | Optometrist | 506 Amsterdam Ave Apt 3b, New York, NY 10024-3951 | 2020-09-17 |
| 1437767167 | Irene Byun | Optometrist | 183 Mott St Apt 5c, New York, NY 10012-4597 | 2020-07-20 |
| 1841814043 | Zhongyue Hu | Optometrist | 33 W 42nd St Rm 1128, New York, NY 10036-8005 | 2020-06-03 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1013552421 | Sai Ka Tsang | Optometrist | 150 William Street, Pride Optical, New York, NY 10038 | 2019-11-08 |
| 1609429414 | Satija Vision Care Optometry, P.C. | Optometrist | 404 E 117th St Fl 1, New York, NY 10035-5020 | 2019-07-21 |
| 1053973826 | Tara M. Mahvelati | Optometrist | 33 W 42nd St - Suny College of Optometry, New York, NY 10036-8005 | 2019-07-02 |
| 1003476870 | Matthew C Burke | Optometrist | 110 E 40th St Fl 6, New York, NY 10016-1801 | 2019-06-14 |
| 1982263265 | Mina Chen | Optometrist | 345 W 58th St Apt 2b, New York, NY 10019-1130 | 2019-06-10 |
| 1679031413 | West Side Eye Specs LLC | Optometrist | 2165 Broadway, New York, NY 10024-6603 | 2019-03-12 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.