| Jenny Fan, Od Pa | |
|
708 E 15th St, Suite A, Plano, TX 75074-5712 | |
| (972) 509-8555 | |
| Not Available |
| Full Name | Jenny Fan, Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 708 E 15th St, Plano, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275689804 | NPI | - | NPPES |
| 178744201 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 5093TG (Texas) | Primary |
| Provider Name | Jenny H Fan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669466348 PECOS PAC ID: 6002848017 Enrollment ID: I20050909000672 |
| Provider Name | William W Fan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912991415 PECOS PAC ID: 8820020845 Enrollment ID: I20050909000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny Fan, Od Pa 708 E 15th St, Suite A, Plano, TX 75074-5712 Ph: (972) 509-8555 | Jenny Fan, Od Pa 708 E 15th St, Suite A, Plano, TX 75074-5712 Ph: (972) 509-8555 |
Cathy Tran Nguyen, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2200 Dallas Pkwy Ste 330, Plano, TX 75093 Phone: 972-378-1822 | |
Dr. Ajay S Patel, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9955 Gillespie Dr, Suite 100, Plano, TX 75025 Phone: 972-403-1110 Fax: 972-403-1153 | |
Shawn M Kelly, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2313 W Parker Rd, Plano, TX 75023 Phone: 972-612-2015 Fax: 972-867-5454 | |
Dr. Saadi Marco Darvish, O.D Optometrist Medicare: Medicare Enrolled Practice Location: 1208 Village Creek Dr, Suite 104, Plano, TX 75093 Phone: 972-931-1133 Fax: 972-931-5546 | |
Dr. Clarissa J De Paz, OD Optometrist Medicare: Medicare Enrolled Practice Location: 811 N Central Expy, Suite 1000, Plano, TX 75075 Phone: 972-423-3937 | |
Dr. Ernest Lee Cook, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1520 Preston Rd Apt 1123, Plano, TX 75093 Phone: 972-612-6114 Fax: 972-612-6114 | |
Dr. Kenneth M Garza, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2100 Hedgcoxe Rd, Suite 140, Plano, TX 75025 Phone: 469-323-1927 |