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

Dr. Jacob Jacques Wanon, OD

Individual provider Optometrist · NPI 1962600775

Dr. Jacob Jacques Wanon, OD is an Optometry in Tucson, Arizona. Qualified in 2007, 19 years ago. Practices with John H McDougall OD Arizona PC, a 44-clinician group and accepts Medicare assignment. Licensed in Arizona and California.

Years since qualifying
19
Licensed in
AZ, CA
In the registry since
2007
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

440 N Alvernon Way
Tucson, AZ 85711-1958
Phone: (520) 327-6211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2326 (AZ)
Optometrist Taxonomy 152W00000X · Licence OPT13290T (CA)

Record details

NPI number1962600775
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 3, 2007
Last updated in NPPESJune 14, 2022
Certification dateJune 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice John H McDougall Od Arizona Pc — 44 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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