Jacob Jacques Wanon, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2326 Issued in AZ

Practice address

440 N Alvernon Way
Tucson, AZ 85711-1958

Phone

(520) 327-6211

NPI assigned

Jul 3, 2007

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, TX2 enrollments

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 2

Specialty

Optometry

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Andy M Lee MD PAGroup PAC ID 4385687441, 4 clinicians

John H McDougall OD Arizona PCGroup PAC ID 3274880117, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jacob.wanon.p1@direct.marineyes.nextgenshare.com

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

• John H McDougall OD Arizona PC

  • Optometrist
  • Fountain Hills, AZ
  • NPI 1851882179
  Medicare reassignment Care Compare group NPD
• Andy M Lee MD PA

  • Ophthalmology Physician
  • Duncanville, TX
  • NPI 1346352648
  Medicare reassignment Care Compare group
• Eye Associates LTD

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1144477050
  Medicare reassignment NPD
• Eye Associates LTD

  • Ophthalmology Physician
  • Tucson, AZ
  • NPI 1275756777

  Optometrist

  NPD
• Eye Associates LTD

  • Durable Medical Equipment & Medical Supplies
  • Tucson, AZ
  • NPI 1851780019
  NPD
• Delta Vista Optometry Inc.

  • Optometrist
  • Brentwood, CA
  • NPI 1285642801
  NPD
• Dr. Ashley Darnell-Sakata, OD, Optometric Corporation

  • Optometrist
  • Brentwood, CA
  • NPI 1174399968
  NPD

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1962600775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111958",
            "telephone_number": "520-327-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 N ALVERNON WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111958",
            "telephone_number": "520-327-6211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANON",
        "first_name": "JACOB",
        "middle_name": "JACQUES",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT13290T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "2326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Wang, MD
• Steven J. Wang, M.D.
• Tina Wang
• Xia Wang, M.D.
• Jacob Wannemacher, M.D.
• Warby Parker Inc.
• Elizabeth Ann Ward-Racy X, MD
• Alex Harrison Ward, PHARM.D.
• Andrea Helene Ward, LPC
• Diana Ward, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.