Wen Ying Fan, OD | |
1793 S Cedar St, Imlay City, MI 48444-1342 | |
(810) 721-9411 | |
(810) 721-9512 |
Full Name | Wen Ying Fan |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 1793 S Cedar St, Imlay City, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629730122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4901005375 (Michigan) | Primary |
Provider Name | Svs Vision Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194879023 PECOS PAC ID: 9931257110 Enrollment ID: O20090427000507 |
Mailing Address | Practice Location Address |
---|---|
Wen Ying Fan, OD 118 Cass Ave, Mount Clemens, MI 48043-2204 Ph: (586) 468-7370 | Wen Ying Fan, OD 1793 S Cedar St, Imlay City, MI 48444-1342 Ph: (810) 721-9411 |
Daniel Jack Adams, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1813 S Van Dyke, Imlay City, MI 48444 Phone: 989-721-9411 Fax: 989-721-9512 | |
Svsvision 47 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1793 S Cedar St, Imlay City, MI 48444 Phone: 810-721-9411 Fax: 810-721-9512 | |
Imlay City Optical Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 W 3rd St, Imlay City, MI 48444 Phone: 810-724-6155 Fax: 810-724-7708 |