Jacquelyn Wyman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-000760 Issued in AZ

Practice address

3635 E Inverness Ave Ste 107
Mesa, AZ 85206-3848

Phone

(480) 372-8950

Fax

(480) 835-1222

NPI assigned

Jul 21, 2006

Last updated

Mar 23, 2026By the provider in NPPES

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 AZ

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

New England College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Washington PLLCGroup PAC ID 4486186657, 50 clinicians

Frank M Akers II O D PCGroup PAC ID 3274610480, 11 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frank M Akers II O D PC

  • Optometrist
  • Mesa, AZ
  • NPI 1598937542
  Medicare reassignment Care Compare group
• Myeyedr Optometry of Washington, PLLC

  dba MyEyeDr.

  • Optometrist
  • Phoenix, AZ
  • NPI 1053156729
  Medicare reassignment Care Compare group
• Myeyedr Optometry of Washington, PLLC

  • Optometrist
  • Mesa, AZ
  • NPI 1144174749
  NPD (past)
• Luxottica of America Inc

  dba Lenscrafters #E895

  • Eyewear Supplier
  • Kansas City, MO
  • NPI 1497412522
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1316968118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 WESTWOOD CENTER DR FL 9",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822442",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 E INVERNESS AVE STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852063848",
            "telephone_number": "480-372-8950",
            "fax_number": "480-835-1222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 W Southern Ave",
            "address_2": "Suite 2242",
            "address_purpose": "LOCATION",
            "city": "Mesa",
            "state": "AZ",
            "postal_code": "852024803",
            "country_code": "US",
            "telephone_number": "480-345-7520",
            "fax_number": "480-844-8699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYMAN",
        "first_name": "JACQUELYN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-000760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WS Perry LLC (Agility Physical Therapy)
• David Wu, C.C.P.
• Jonathan Ho Hin Wu
• Scott Wyant, DPM
• April Nichole Wyma, APRN
• Shannon Wyngard
• John Brace Wynkoop, DPT, PT
• Jane G Xavier, RN
• Xcell Health and Wellness PLLC
• Wei Xie, D.M.D

• Optometrist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; 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.