| William Fan, Od Pa | |
|
625 W Dickey Rd, Grand Prairie, TX 75051-3129 | |
| (972) 262-4391 | |
| (972) 264-6135 |
| Full Name | William Fan, Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 625 W Dickey Rd, Grand Prairie, Texas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710021274 | NPI | - | NPPES |
| 112248401 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4925TG (Texas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| William Fan, Od Pa 625 W Dickey Rd, Grand Prairie, TX 75051-3129 Ph: (972) 262-4391 | William Fan, Od Pa 625 W Dickey Rd, Grand Prairie, TX 75051-3129 Ph: (972) 262-4391 |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 W Dickey Rd, Grand Prairie, TX 75051 Phone: 972-262-4391 Fax: 972-264-6135 | |
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 Phone: 469-805-6583 | |
Dr. Jaime Rene Gonzalez, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2634 S Carrier Pkwy, 101, Grand Prairie, TX 75052 Phone: 972-641-0011 | |
Julia Landavazo, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 625 W Dickey Rd, Grand Prairie, TX 75051 Phone: 972-262-4391 Fax: 972-264-6135 | |
Dr. Carolyn K Kha, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4927 Lake Ridge Pkwy, Suite Number 160, Grand Prairie, TX 75052 Phone: 972-641-5900 Fax: 972-641-5903 | |
Kristin Diem Nguyen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2650 S State Highway 161, Grand Prairie, TX 75052 Phone: 817-213-6607 | |
Express Vision Care Optometrist Medicare: Medicare Enrolled Practice Location: 2650 S State Highway 161, Grand Prairie, TX 75052 Phone: 817-213-6607 Fax: 817-608-7879 |