Doctor profile · Federal record
Dr. Deanna Wong Wan, OD
Optometrist (CMS: Optometry) · San Diego, CA
- NPI 1104975580
- Accepts Medicare
- 30 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4647 Zion Ave
San Diego, CA 921202507
(619) 528-5000
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- November 30, 2021
- Year of graduation
- 1996 — 30 yrs since
- Specialty taxonomy
- 152W00000X — NUCC code
- State license (1)
- California #OPT10793T
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1104975580. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$148
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Tarsus Pharmaceuticals, Inc. | 1 | $148.35 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
49
Patients
16
Total drug cost
$6,553
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Cyclosporine | Generic | 49 | 16 | $6,553 |
Frequently asked questions
What is Dr. Deanna Wong Wan's medical specialty?
Dr. Deanna Wong Wan practices Optometrist in San Diego, CA.
Where does Dr. Deanna Wong Wan practice?
Dr. Deanna Wong Wan practices at 4647 Zion Ave, San Diego, CA 921202507. Office phone: 6195285000.
What is Dr. Deanna Wong Wan's NPI?
Dr. Deanna Wong Wan's National Provider Identifier (NPI) is 1104975580, issued by NPPES.
Does Dr. Deanna Wong Wan accept Medicare assignment?
Yes. Dr. Deanna Wong Wan accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.