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

Wan and Mashouf Optometric Corp PC

Organization Optometrist · NPI 1760439848

Wan and Mashouf Optometric Corp PC is an Optometrist in San Diego, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10549 Scripps Poway Pkwy Ste G
San Diego, CA 92131-3963
Phone: (858) 530-2800
Fax: (858) 530-2889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 10924T (CA)

Record details

NPI number1760439848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keith Wan — Od/Owner · (858) 530-2800
NPI enumeratedMay 27, 2006
Last updated in NPPESFebruary 4, 2021
Certification dateFebruary 4, 2021
Mailing address10549 Scripps Poway Pkwy, Ste G, San Diego, CA 92131-3963

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