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JACQUELYN WANG
NPI 1215319496
Optometrist in Las Vegas, NV

Active since June 24, 2015PECOS EnrolledAccepts Medicare Assignment
4175 S GRAND CANYON DR STE 105, LAS VEGAS, NV 89147(702) 912-4254(702) 847-7624 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 5, 2026, Mar 13, 2025, Jan 3, 2022 and 2 more (5 updates tracked since 2016).

About Jacquelyn Wang NPPES

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

JACQUELYN WANG (NPI 1215319496) is an individual optometrist in Las Vegas, Nevada, licensed in Nevada (1124) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Napa, and is a graduate of Southern California College Of Optometry (2015).

NPPES Registry Identity

NPI1215319496
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameJACQUELYN WANG
Location Address4175 S GRAND CANYON DR STE 105Las Vegas, NV 89147-7155
Mailing Address4175 S Grand Canyon Dr Ste 105Las Vegas, NV 89147-7155 · (702) 912-4254
Phone(702) 912-4254
Fax(702) 847-7624
Sole ProprietorNo
Medical School CMSSouthern California College Of OptometryGraduated 2015
Enumeration DateJune 24, 2015
Last NPPES UpdateJanuary 5, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1215319496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses✔ Licensed in NV · 1124✔ Licensed in CA · 15226TLG
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.
4175 S GRAND CANYON DR STE 105, Las Vegas, NV 89147
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Secondary Practice Location 1

Location 13285 Claremont WayNapa, CA 94558-3313 · Phone (707) 258-2076

Other Identifiers 1

Medicaid1215319496CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacquelyn Wang 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 ID3274840574
PECOS Enrollment IDI20220328001197
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jacquelyn Wang reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyediology Vision Care Burke PLLC
Same address
Optometrist
4175 S GRAND CANYON DR STE 105
Las Vegas, NV 89147
  • Reassigned Medicare billing, Nevada enrollment
  • 3 clinicians in this Medicare group
NPI 1497341705 (702) 912-4254
Shannon R. Chandler, Corp
8.2 mi
Optometrist
3962 BLUE DIAMOND RD STE 105
Las Vegas, NV 89139
  • Reassigned Medicare billing, Nevada enrollment
  • 5 clinicians in this Medicare group
NPI 1194890673 (702) 791-6068
Spectrum Eyecare Optometry Inc
198 mi
Optometrist
425 W BONITA AVE, SUITE 110B
San Dimas, CA 91773
  • Reassigned Medicare billing, California enrollment
  • 24 clinicians in this Medicare group
NPI 1801949573 (909) 394-0462
Linden Optometry A Professional Corporation
210 mi
Optometrist
477 E COLORADO BLVD
Pasadena, CA 91101
  • Reassigned Medicare billing, California enrollment
  • 36 clinicians in this Medicare group
NPI 1831201078 (626) 796-1191
Permanente Medical Group Inc
356 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
18 services18 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89147 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
$131.25 typical visit price
range $57.07 – $173.24
Typical copayment $32.81 (range $14.26 – $43.31)
Most-billed visit code 99204
Established Patient
$71.14 typical visit price
range $18.27 – $140.96
Typical copayment $17.78 (range $4.56 – $35.24)
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 4

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

TRISHA FOURNIER OD
Optometrist
4175 S GRAND CANYON DR STE 105
LAS VEGAS, NV 89147
Clark County (702) 912-4254
EYEDIOLOGY VISION CARE BURKE PLLC
Optometrist
4175 S GRAND CANYON DR STE 105
LAS VEGAS, NV 89147
Clark County (702) 912-4254
SARA YOO
Optometrist
4175 S GRAND CANYON DR STE 105
LAS VEGAS, NV 89147
Clark County (702) 912-4254
DR. JENNIFER KATHLEEN BURKE O.D.
Optometrist
4175 S GRAND CANYON DR STE 105
LAS VEGAS, NV 89147
Clark County (702) 912-4254

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 Jacquelyn Wang's NPI number?

The NPI number for Jacquelyn Wang is 1215319496. It was assigned to this individual provider in the NPPES registry on June 24, 2015.

Where is Jacquelyn Wang located?

Jacquelyn Wang practices at 4175 S Grand Canyon Dr Ste 105, Las Vegas, NV 89147. The listed phone number is (702) 912-4254.

What is Jacquelyn Wang's specialty?

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

Is Jacquelyn Wang enrolled in Medicare?

Yes. Jacquelyn Wang 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.

Which organizations bill Medicare for Jacquelyn Wang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacquelyn Wang reassigns Medicare benefits to 5 organizations: Eyediology Vision Care Burke PLLC (Las Vegas, NV), Shannon R. Chandler, Corp (Las Vegas, NV), Spectrum Eyecare Optometry Inc (San Dimas, CA), Linden Optometry A Professional Corporation (Pasadena, CA) and Permanente Medical Group Inc (Stockton, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jacquelyn Wang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacquelyn Wang accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 4 other insurers list Jacquelyn Wang 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 Jacquelyn Wang was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.