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Active NPI 1962600775 Individual Practitioner Male Practitioner

Dr. Jacob Jacques Wanon , OD

Optometrist • Tucson, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Wanon, OD is a certified Optometrist practicing in Tucson, AZ. With approximately 7 years of clinical experience since graduating from University Of California - School Of Optometry in 2019, Dr. Wanon delivers high-quality medical care to the local community at 440 N ALVERNON WAY.

Dr. Wanon is affiliated with John H Mcdougall Od Arizona Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include photography of the retina, established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

440 N Alvernon Way

Tucson, AZ 857111958

Telephone 5203276211
Associated Practice Facility / Clinic
🏢 Alvernon Optical, Inc. Facility NPI 1972614584

Medicare Profile & Education

Medical School

University Of California - School Of Optometry

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Tucson, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -9.6 yrs vs City Avg
City Avg: 16.6 Yrs
State Avg: 20.2 Yrs
Regional Practice Density
182 Specialists

Practicing in Tucson, AZ (1373 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
34.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wanon (7 Years) 7 Yrs
Tucson Specialty Average (16.6 Years) 16.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92250 Photography of the retina
127 123 $130.00 $35.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
104 95 $140.00 $124.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
45 45 $200.00 $161.26
92020 Examination of cornea and iris using lens device and slit lamp
34 34 $60.00 $26.44

Medical Specialties & State Licenses

CMS Verified: 2022-06-14
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License AZ 2326

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.

Optometrist

NUCC Taxonomy Code: 152W00000X

State License CA OPT13290T

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.

Hospital & Practice Group Affiliations

John H Mcdougall Od Arizona Pc

6615 N Oracle Rd, Tucson, AZ 857045644

Phone: 5207978000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1770347569

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 14, 2022

Registered at 440 N ALVERNON WAY, TUCSON, AZ 857111958 (Tel: 5203276211)

📍
Updated Business Mailing Address June 14, 2022

Registered at 440 N ALVERNON WAY, TUCSON, AZ 857111958 (Tel: 5203276211)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2022

Optometrist (License #OPT13290T in CA)

NPI Profile Active February 15, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 15, 2012

Registered at 255 WESTERN AVE, AUGUSTA, ME 043304933 (Tel: 2076225800)

📍
Updated Business Mailing Address February 15, 2012

Registered at 210 MAINE AVE, FARMINGDALE, ME 043444515 (Tel: 5102804910)

👤
Provider Name / Credentials Updated February 15, 2012

Recorded as JACOB WANON, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 15, 2012

Optometrist (License #OPT924 in ME)

🟢
Initial NPI Registration & Enumeration July 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962600775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2007
Last Update: June 14, 2022
Sole Proprietor: No

Mailing Address

440 N Alvernon Way

Tucson, AZ 857111958

Phone: 5203276211

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.