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

Dr. Jean Marie Wang Mengoli, OD

Individual provider Optometrist · NPI 1629116827

Dr. Jean Marie Wang Mengoli, OD is an Optometry in San Diego, California. Qualified in 2002, 24 years ago. Practices with Dry Eye Associates PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2007
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

4405 Vandever Ave
San Diego, CA 92120-3315
Phone: (503) 936-4136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 11975T (CA)

Record details

NPI number1629116827
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESDecember 22, 2021
Certification dateDecember 22, 2021

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Dry Eye Associates Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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