Jenny Fan, Od PA

NPI #1275689804 in Plano, Texas

Provider Information

NPI Number: 1275689804
Entity Type: Organization
Organization Name: Jenny Fan, Od PA
Primary Specialty: Optometrist
Enumeration Date: Jan 26, 2007
Last Updated: May 17, 2024

Practice Location

Address: 708 E 15TH ST
Address 2: SUITE A
City: Plano
State: Texas
ZIP Code: 75074-5712
Phone: (972) 509-8555

Authorized Official

Name: DR. WILLIAM FAN, O.D.
Title: SECRETARY
Phone: (972) 262-4391

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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