WAN AND MASHOUF OPTOMETRIC CORP PC
NPI 1760439848
Optometrist in San Diego, CA

Active since May 27, 2006
10549 SCRIPPS POWAY PKWY, STE G, SAN DIEGO, CA 92131(858) 530-2800(858) 530-2889 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wan And Mashouf Optometric Corp Pc NPPES

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

WAN AND MASHOUF OPTOMETRIC CORP PC (NPI 1760439848) is a healthcare organization registered as an optometrist in San Diego, California and active in the NPI registry since May 2006. The organization lists Keith Michael Wan, Od/owner, as its authorized official.

NPPES Registry Identity

NPI1760439848
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWAN AND MASHOUF OPTOMETRIC CORP PC
Location Address10549 SCRIPPS POWAY PKWY, STE GSan Diego, CA 92131-3963
Mailing Address10549 Scripps Poway Pkwy, Ste GSan Diego, CA 92131-3963 · (858) 530-2800 · Fax (858) 530-2889
Fax(858) 530-2889
Organization SubpartNo
Authorized OfficialKeith Michael WanOd/owner · (858) 530-2800
Enumeration DateMay 27, 2006
Last NPPES UpdateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1760439848 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 · 10924T
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.
10549 SCRIPPS POWAY PKWY, San Diego, CA 92131

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wan And Mashouf Optometric Corp Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Wan And Mashouf Optometric Corp PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Optometry
NPI 1346294584
10549 SCRIPPS POWAY PKWY SUITE G
San Diego, CA 92131
(858) 530-2800
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1235181165
10549 SCRIPPS POWAY PKWY STE G
San Diego, CA 92131
(858) 530-2800
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1912533134
8225 GUPPY CT
San Diego, CA 92129
(858) 527-5882
✔ PECOS✔ Accepts Medicare2.7 mi
Optometry
NPI 1063404515
8230 MIRA MESA BLVD SUITE B
San Diego, CA 92126
(858) 566-6670
✔ PECOS3.1 mi
Optometry
NPI 1124470042
43980 MARGARITA RD STE 103
Temecula, CA 92592
(951) 302-1331
✔ PECOS✔ Accepts Medicare38 mi
Optometry
NPI 1053178541
22410 SAM CREEK CT
Katy, TX 77494
(832) 444-4487
✔ PECOS✔ Accepts Medicare1,279 mi

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

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 Wan And Mashouf Optometric Corp PC's NPI number?

The NPI number for Wan And Mashouf Optometric Corp PC is 1760439848. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Wan And Mashouf Optometric Corp PC located?

Wan And Mashouf Optometric Corp PC is located at 10549 Scripps Poway Pkwy Ste G, San Diego, CA 92131. The listed phone number is (858) 530-2800.

What is Wan And Mashouf Optometric Corp PC's specialty?

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

Is Wan And Mashouf Optometric Corp PC enrolled in Medicare?

Yes. Wan And Mashouf Optometric Corp PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wan And Mashouf Optometric Corp PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Wan And Mashouf Optometric Corp PC. A 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 the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Wan And Mashouf Optometric Corp PC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Wan And Mashouf Optometric Corp PC 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 Wan And Mashouf Optometric Corp PC was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.