Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jon G. Wada, OD

Organization Optometrist · NPI 1902967516

Jon G. Wada, OD is an Optometrist in San Jose, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
3
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Practice location Address checks out

2405 Forest Ave
San Jose, CA 95128-1500
Phone: (408) 243-7916
Fax: (408) 243-3525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 9115 (CA)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 9115 (CA)
Low Vision Rehabilitation Optometrist Taxonomy 152WL0500X · Licence 9115 (CA)

Record details

NPI number1902967516
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jon Wada — Owner · (408) 243-7916
NPI enumeratedDecember 13, 2006
Last updated in NPPESMay 15, 2015
Mailing address2405 Forest Ave, San Jose, CA 95128-1500

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