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

Jacquelyn Wang

Individual provider Optometrist · NPI 1215319496

Jacquelyn Wang is an Optometry in Las Vegas, Nevada. Graduated from Southern California College of Optometry in 2015, 11 years ago. Practices with Eyediology Vision Care Burke PLLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Nevada.

Years since qualifying
11
Trained at
Southern California College of Optometry
Licensed in
CA, NV
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

4175 S Grand Canyon Dr Ste 105
Las Vegas, NV 89147-7155
Phone: (702) 912-4254
Fax: (702) 847-7624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3285 Claremont Way, Napa, CA 94558-3313 — (707) 258-2076

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1124 (NV)
Optometrist Taxonomy 152W00000X · Licence 15226TLG (CA)

Record details

NPI number1215319496
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Group practice Eyediology Vision Care Burke Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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