DR. JEAN MARIE WANG MENGOLI O.D.
NPI 1629116827
Optometrist in San Diego, CA

Active since February 01, 2007PECOS EnrolledAccepts Medicare Assignment
4405 VANDEVER AVE, SAN DIEGO, CA 92120(503) 936-4136 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Jean Marie Wang Mengoli O.d. NPPES

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

DR. JEAN MARIE WANG MENGOLI O.D. (NPI 1629116827) is an individual optometrist in San Diego, California, licensed in California (11975T) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629116827
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JEAN MARIE WANG MENGOLICredential: O.D.
Location Address4405 VANDEVER AVESan Diego, CA 92120-3315
Mailing Address4405 Vandever AveSan Diego, CA 92120-3315 · (503) 936-4136
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateFebruary 1, 2007
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
NPI 1629116827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in CA · 11975T
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.
4405 VANDEVER AVE, San Diego, CA 92120

Other Names 1

Professional Name (2)Dr. Jean Marie Wang O.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jean Marie Wang Mengoli O.d. 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 ID4880649441
PECOS Enrollment IDI20231024004124
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.

Areas of Expertise CMS Part B claims 3

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.

Analysis of substance using immunoassay technique, multiple step method 83516
This procedure involves the use of an immunoassay, a highly sensitive technique, to detect and measure substances in your body. It involves multiple steps and is commonly used in diagnosing and monitoring various health conditions.
36 services18 patients
Photography of content of eyes 92285
Photography of the content of eyes, also known as ocular photography, captures detailed images of different parts of the eye. It helps identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. The process is non-invasive and painless.
23 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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 20

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

Advanced Practice Midwife
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pathology (Blood Banking & Transfusion Medicine)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Psychiatry & Neurology (Psychiatry)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Urology
4405 VANDEVER AVE, UROLOGIC SURGERY
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Family Medicine
4405 VANDEVER AVE
SAN DIEGO, CA 92120

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 Jean Mengoli's NPI number?

The NPI number for Jean Mengoli is 1629116827. It was assigned to this individual provider in the NPPES registry on February 1, 2007. The provider is also known as Dr. Jean Marie Wang O.D..

Where is Jean Mengoli located?

Jean Mengoli practices at 4405 Vandever Ave, San Diego, CA 92120. The listed phone number is (503) 936-4136.

What is Jean Mengoli's specialty?

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

Is Jean Mengoli enrolled in Medicare?

Yes. Jean Mengoli 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.

What insurance does Jean Mengoli accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 8 other insurers list Jean Mengoli 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 Jean Mengoli was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.