Jenny Fan, Od Pa

LBN: Jenny Fan, Od Pa
Jenny Fan, Od Pa is an health care organization with primary practice located at 708 E 15Th St Suite A, Plano TX 75074-5712. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jenny Fan, Od Pa can be contacted via phone (972) 509-8555, or through Fan, William via phone (972) 262-4391.

Contact Information

Primary practice address
708 E 15Th St Suite A Plano TX 75074-5712
Phone: (972) 509-8555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fan, William Doctor of Optometry (OD)
Phone: (972) 262-4391

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5093TG Texas

Profile Details

NPI number 1275689804
LBN Legal business name Jenny Fan, Od Pa
DBA Doing business as
Authorized official Fan, William Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated May 17th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275689804 NPPES
Texas MEDICAID 178744201

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