COURTNEY WEN YING FAN OD
NPI 1629730122
Optometrist in Imlay City, MI

Q: What is Courtney Fan's NPI number?

The NPI number for Courtney Fan is 1629730122. It was assigned to this individual provider in the NPPES registry on October 12, 2021. The provider is also known as Courtney Wen Ying Fan Od.

Q: What is Courtney Fan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Courtney Fan was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since October 12, 2021PECOS EnrolledAccepts Medicare Assignment

1793 S CEDAR ST, IMLAY CITY, MI 48444(810) 721-9411(810) 721-9512 Get Directions Write a Review

NPPES record last updated: April 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 10, 2025, Oct 12, 2021 (2 updates tracked since 2021).

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About Courtney Wen Ying Fan Od NPPES

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

COURTNEY WEN YING FAN OD (NPI 1629730122) is an individual optometrist in Imlay City, Michigan, licensed in Michigan (4901005375) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of University Of Waterloo - School Of Optometry (2018).

NPPES Registry Identity

NPI1629730122

Entity TypeIndividualFemale

Primary Taxonomy152W00000X

Provider Legal NameCOURTNEY WEN YING FANCredential: OD

Location Address1793 S CEDAR STImlay City, MI 48444-1342

Mailing Address118 Cass AveMount Clemens, MI 48043-2204 · (586) 468-7370

Phone(810) 721-9411

Fax(810) 721-9512

Sole ProprietorNo

Medical School CMSUniversity Of Waterloo - School Of OptometryGraduated 2018

Enumeration DateOctober 12, 2021

Last NPPES UpdateApril 10, 20252 updates tracked since enumeration

NPPES CertifiedApril 10, 2025

✔ NPI 1629730122 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 MI · 4901005375

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.

1793 S CEDAR ST, Imlay City, MI 48444

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Other Names 1

Professional Name (2)Courtney Wen Ying Fan Od

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Courtney Wen Ying Fan Od is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284032665

PECOS Enrollment IDI20211015001114

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Courtney Fan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Svs Vision Inc

Same address

Optometrist

1793 S CEDAR ST
Imlay City, MI 48444

Reassigned Medicare billing, Michigan enrollment
113 clinicians in this Medicare group

NPI 1881729390 (810) 721-9411

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

51 services51 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

41 services41 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48444 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SVS VISION INC

Optometrist

1793 S CEDAR ST
IMLAY CITY, MI 48444

Lapeer County (810) 721-9411

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 Courtney Fan's NPI number?

The NPI number for Courtney Fan is 1629730122. It was assigned to this individual provider in the NPPES registry on October 12, 2021. The provider is also known as Courtney Wen Ying Fan Od.

Where is Courtney Fan located?

Courtney Fan practices at 1793 S Cedar St, Imlay City, MI 48444. The listed phone number is (810) 721-9411.

What is Courtney Fan's specialty?

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

Is Courtney Fan enrolled in Medicare?

Yes. Courtney Fan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Courtney Fan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Courtney Fan reassigns Medicare benefits to Svs Vision Inc (Imlay City, MI). The 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 Courtney Fan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Courtney Fan accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Blue Care Network of Michigan and 14 other insurers list Courtney Fan 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 Courtney Fan was last updated on April 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.