Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNY FAN, O.D.
DeactivatedDR. JENNY FAN, O.D. is a Optometrist healthcare provider located in PLANO, Texas. NPI 1669466348 is deactivated in the NPPES registry. Verify at CMS.
Optometrist · PLANO, TX
This NPI has been deactivated.
The record was deactivated on March 25, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1669466348
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 8, 2005 (0.54246575342466 yrs)
- Last Updated
- May 17, 2024
- Deactivated
- Mar 25, 2006
- Licenses
-
5903TG (TX)5903TG (TX)
Practice Information
- Address
-
708 E 15TH STSUITE APLANO, TX, 750745712Browse TX providers · Browse ZIP 75074
- Phone
- 9725098555
- Fax
- 9725098556
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Corneal & Contact Management Optometrist
Other Optometrist Providers in PLANO, TX
| Name | Credential | NPI |
|---|---|---|
| HAROLD R CODIANNE | OD | 1902898422 |
| SHAWN M KELLY | OD | 1003808395 |
| BRIAN DANIEL RAST | OD | 1588657506 |
| DR. WILLIAM FAN | O.D. | 1912991415 |
| KENNETH MATHEW KIRKLAND | OD | 1053300624 |
| DR. KENNETH M GARZA | O.D. | 1043209448 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.