JESSICA LAN WANG (OD) – Optometrist, NPI 1497314355

JESSICA LAN WANG (OD) is a healthcare provider. based in Long island city, New York. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 9768T (TX). The NPI Number for JESSICA LAN WANG (OD) is 1497314355

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA LAN WANG (OD)
NPI
1497314355
Phone
(469) 230-0666
Address
2830 JACKSON AVE APT 48F
Enumeration Date
12 June 2019
Last Update Date
12 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9725620101
Graduation Year
2019 (7 years ago)
PAC ID
4789914136
Group Practice PAC ID
7911222328
Professional Enrollment ID
I20240417004359
Address ID
TX750697864MC1716XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,989 OPTOMETRY in NY

Provider Addresses for JESSICA LAN WANG (OD)

  • 2830 JACKSON AVE APT 48F

    LONG ISLAND CITY, NY 111013326

    Phone: (469) 230-0666

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 19 Open Payments records for all available years, with a total value of $2,604.

Total Amount is formed as General ($2,604) + Research ($0) + Ownership ($0) = $2,604.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: RxSight Inc ($1,950).

Total Amount

$2,604

General + Research + Ownership

Payments

19

Total payment records

General Amount

$2,604

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-17

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190926003227IOptometryNYTBD
I20240417004359IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 11101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911222328View full group profile
NameSpecialtyState
O P T O M E T R YTX

Reviews

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Frequently asked questions

What number should I use to identify JESSICA LAN WANG (OD) for billing?
Administrative and clinical systems typically use NPI 1497314355 for JESSICA LAN WANG (OD).
Is JESSICA LAN WANG (OD)'s NPI status active today?
Active status means JESSICA LAN WANG (OD)'s NPI record is not deactivated in the public file.
What type of care does JESSICA LAN WANG (OD) provide?
JESSICA LAN WANG (OD)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Which community is linked to JESSICA LAN WANG (OD)?
JESSICA LAN WANG (OD) shows a connection to Long Island City, New York in registry-derived data.
Who maintains JESSICA LAN WANG (OD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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