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

Katy Wan, OD

Individual provider Optometrist · NPI 1245682061

Katy Wan, OD is an Optometry in Corona, California. Graduated from Southern California College of Optometry in 2016, 10 years ago. Practices with Golden Ardaya and Lin Optometry Inc, an 18-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Trained at
Southern California College of Optometry
Licensed in
CA
In the registry since
2016
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

1124 S Main St Ste 101
Corona, CA 92882-4449
Phone: (951) 737-6363
Fax: (951) 272-6723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT33388TLG (CA)

Record details

NPI number1245682061
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedJuly 5, 2016
Last updated in NPPESJuly 5, 2016
Mailing address1124 S Main St, Suite 101, Corona, CA 92882-4449

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Golden Ardaya And Lin Optometry Inc — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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