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Jenny Fan, Od PA

NPI 1275689804ActiveOrganization· Optometrist· Plano, TX

Optometrist in Plano, Texas, registered in NPPES in January 2007. The authorized official on file is William Fan, O.D., Secretary. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1275689804
StatusActive
Entity typeOrganization
NPI issuedJan 26, 2007
Last updated in NPPESMay 17, 2024
Certified by providerMay 17, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X5093TGTX

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (TX)

Medicare sources and data years

Other optometrists in Plano

All 178 optometrists in Plano · All optometrists in Texas