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JENNY FAN, OD PA
NPI 1275689804
Optometrist in Plano, TX

Active since January 26, 2007
708 E 15TH ST, SUITE A, PLANO, TX 75074(972) 509-8555 Get Directions Write a Review

NPPES record last updated: May 17, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jenny Fan, Od Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNY FAN, OD PA (NPI 1275689804) is a healthcare organization registered as an optometrist in Plano, Texas and active in the NPI registry since January 2007. The organization lists William Fan, Secretary, as its authorized official.

NPPES Registry Identity

NPI1275689804
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameJENNY FAN, OD PA
Location Address708 E 15TH ST, SUITE APlano, TX 75074-5712
Mailing Address708 E 15th St, Suite APlano, TX 75074-5712 · (972) 509-8555
Phone(972) 509-8555
Organization SubpartNo
Authorized OfficialWilliam FanSecretary · (972) 262-4391
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMay 17, 2024
NPPES CertifiedMay 17, 2024
✔ NPI 1275689804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in TX · 5093TG
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
708 E 15TH ST, Plano, TX 75074
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Other Identifiers 1

Medicaid178744201TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenny Fan, Od Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jenny Fan, Od PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jenny Fan, O.D.
Optometry
NPI 1669466348
708 E 15TH ST SUITE A
Plano, TX 75074
(972) 509-8555
✔ PECOS✔ Accepts MedicareSame address
William Fan, O.D.
Optometry
NPI 1912991415
625 W DICKEY RD
Grand Prairie, TX 75051
(972) 262-4391
✔ PECOS✔ Accepts Medicare27 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenny Fan, Od PA's NPI number?

The NPI number for Jenny Fan, Od PA is 1275689804. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Jenny Fan, Od PA located?

Jenny Fan, Od PA is located at 708 E 15th St Suite A, Plano, TX 75074. The listed phone number is (972) 509-8555.

What is Jenny Fan, Od PA's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jenny Fan, Od PA enrolled in Medicare?

Yes. Jenny Fan, Od PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jenny Fan, Od PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Jenny Fan, Od PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jenny Fan, Od PA accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Jenny Fan, Od PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenny Fan, Od PA was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.