ALLIE DE LA CRUZ
NPI 1063269488
Optometrist in Beaverton, OR

Q: What is Allie De La Cruz's NPI number?

The NPI number for Allie De La Cruz is 1063269488. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Q: What is Allie De La Cruz's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Q: When was this NPI record last updated?

The NPPES record for Allie De La Cruz was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 02, 2024PECOS EnrolledAccepts Medicare Assignment

4655 SW GRIFFITH DR STE 165, BEAVERTON, OR 97005(503) 646-8592(503) 526-3989 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 7, 2025, May 2, 2024 (2 updates tracked since 2024).

On this page

About Allie De La Cruz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLIE DE LA CRUZ (NPI 1063269488) is an individual optometrist in Beaverton, Oregon, licensed in Oregon (ATI4733) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Pacific University - College Of Optometry (2024).

NPPES Registry Identity

NPI1063269488

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameALLIE DE LA CRUZ

Location Address4655 SW GRIFFITH DR STE 165Beaverton, OR 97005-8731

Mailing Address4655 Sw Griffith Dr Ste 165Beaverton, OR 97005-8731 · (503) 646-8592 · Fax (503) 526-3989

Phone(503) 646-8592

Fax(503) 526-3989

Sole ProprietorNo

Medical School CMSPacific University - College Of OptometryGraduated 2024

Enumeration DateMay 2, 2024

Last NPPES UpdateJuly 7, 20252 updates tracked since enumeration

NPPES CertifiedJuly 7, 2025

✔ NPI 1063269488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in OR · ATI4733

Definition

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.

4655 SW GRIFFITH DR STE 165, Beaverton, OR 97005

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Allie De La Cruz is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810421104

PECOS Enrollment IDI20241108001908

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$134.16 typical visit price

range $58.99 – $176.88

Typical copayment $33.54 (range $14.74 – $44.22)

Most-billed visit code 99204

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. STACY JO HILL O.D.

Optometrist

4655 SW GRIFFITH DR STE 165
BEAVERTON, OR 97005

Washington County (503) 646-8592

DR. DARCY COATS TAYLOR O.D.

Optometrist

4655 SW GRIFFITH DR STE 165
BEAVERTON, OR 97005

Washington County (503) 646-8592

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Allie De La Cruz's NPI number?

The NPI number for Allie De La Cruz is 1063269488. It was assigned to this individual provider in the NPPES registry on May 2, 2024.

Where is Allie De La Cruz located?

Allie De La Cruz practices at 4655 SW Griffith Dr Ste 165, Beaverton, OR 97005. The listed phone number is (503) 646-8592.

What is Allie De La Cruz's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Allie De La Cruz enrolled in Medicare?

Yes. Allie De La Cruz is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Allie De La Cruz accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Allie De La Cruz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Allie De La Cruz was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.