Steven Shing Yan Wan, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT-001969 Issued in AZ

Practice address

13065 W McDowell Rd Ste B105
Avondale, AZ 85392-6442

Phone

(623) 663-0423

Fax

(623) 845-1401

NPI assigned

Jul 17, 2013

Last updated

Mar 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

Illinois College of Optometry at Chicago, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Estrella Mountain Eye Care PLLCGroup PAC ID 3678856234, 2 clinicians

Myeyedr Optometry of Washington PLLCGroup PAC ID 4486186657, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Estrella Mountain Eye Care PLLC

  • Optometrist
  • Avondale, AZ
  • NPI 1912443888
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Washington, PLLC

  dba MyEyeDr.

  • Optometrist
  • Phoenix, AZ
  • NPI 1053156729
  Medicare reassignment Care Compare group
• Desert Eye, PC

  • Optometrist
  • Tempe, AZ
  • NPI 1922314905
  Medicare reassignment NPD
• Mark J. Page OD PC

  dba Arizona's Vision

  • Optometrist
  • Phoenix, AZ
  • NPI 1629064761
  Medicare reassignment NPD
• Emergency Medical & Surgical Specialists of Colorado LLC

  • Critical Access Hospital
  • Denver, CO
  • NPI 1144669102
  NPD (past)

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1891136941",
    "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": "13065 W MCDOWELL RD STE B105",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926442",
            "telephone_number": "623-663-0423",
            "fax_number": "623-845-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAN",
        "first_name": "STEVEN",
        "middle_name": "SHING YAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-17",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14674",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "OPT-001969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walmart Inc. (Walmart Pharmacy 10-2554)
• Walmart Stores, Inc. (Vision Center 30-2554)
• Natia Walsh
• Jessica Walters, MS OTR/L
• Delores M Walton, RPH
• Caleb Ward
• Lorri Ward
• Jenna Mae Warner, MS CCC-SLP
• Tayasia Warner
• Kayla Warren, CCC-SLP, CLC

• Optometrist in Avondale, AZ
• Providers in Avondale, 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.