Lisha Caye Wan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

34155 Issued in CA

Practice address

1700 N Rose Ave #200
Suite 200
Oxnard, CA 93030-9303

Phone

(805) 983-0700

NPI assigned

Nov 14, 2018

Last updated

Aug 25, 2022By 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 CA

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

Merit-based Incentive Payment System (MIPS)

Final score

89.67 of 100Reported as group

Quality

90.49

Improvement activities

40

Cost

78.23

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lishawan@coastaleyespecialists.direct.eyemdemr.com

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.

• Coastal Eye Specialists Medical Group Inc

  • Optometrist
  • Oxnard, CA
  • NPI 1891873139
  Medicare reassignment NPD

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

{
    "created_epoch": "1542153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1558830018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE STE 200",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930303791",
            "telephone_number": "805-983-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 N ROSE AVE #200",
            "address_2": "SUITE 200",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930309303",
            "telephone_number": "805-983-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 N ROSE AVE #200",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930309303",
            "country_code": "US",
            "telephone_number": "805-983-0700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAN",
        "first_name": "LISHA",
        "middle_name": "CAYE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-14",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (WalMart Pharmacy 10-5643)
• Walmart Inc. (Walmart Pharmacy 10-2032)
• Walmart Inc. (WalMart Pharmacy 10-3087)
• John R Walters, MD
• Monica Gorrindo Walters, MSW
• Wei Lee Wan, M.D.
• Fanping Wang, M.D
• Jennifer Waplington, B.A.
• Monica Lynn Ward, RN
• Annabelle Warren

• Optometrist in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.