Jenny Fan, OD PA
NPI 1275689804 · Optometrist · Plano, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jenny Fan, OD PA is a Optometrist organization in Plano, TX (NPI 1275689804).
Provider details
- NPI number
- 1275689804
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- William Fan, Secretary(972) 262-4391
- License
- 5093TG (TX)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2024-05-17
- Certified
- 2024-05-17
Frequently asked questions
- What is Jenny Fan, OD PA's NPI number?
- Jenny Fan, OD PA's National Provider Identifier (NPI) is 1275689804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jenny Fan, OD PA?
- Jenny Fan, OD PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Jenny Fan, OD PA located?
- Jenny Fan, OD PA's practice location on file with NPPES is 708 E 15th St, Plano, TX 75074-5712.
- What is Jenny Fan, OD PA's phone number?
- The practice phone number listed in the NPPES registry for Jenny Fan, OD PA is (972) 509-8555.
- Does Jenny Fan, OD PA accept Medicare?
- Jenny Fan, OD PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jenny Fan, OD PA?
- The authorized official listed on Jenny Fan, OD PA's NPPES record is William Fan, Secretary. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jenny Fan, OD PA's NPI active?
- Yes — Jenny Fan, OD PA's NPI (1275689804) is active in the NPPES registry as of the last update on 2024-05-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.