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WILLIAM FAN, OD PA
NPI 1710021274
Optometrist in Grand Prairie, TX

Active since February 17, 2007
625 W DICKEY RD, GRAND PRAIRIE, TX 75051(972) 262-4391(972) 264-6135 Get Directions Write a Review

NPPES record last updated: March 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About William Fan, Od Pa NPPES

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

WILLIAM FAN, OD PA (NPI 1710021274) is a healthcare organization registered as an optometrist in Grand Prairie, Texas and active in the NPI registry since February 2007. The organization lists Willliam Fan, President, as its authorized official.

NPPES Registry Identity

NPI1710021274
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameWILLIAM FAN, OD PA
Location Address625 W DICKEY RDGrand Prairie, TX 75051-3129
Mailing Address625 W Dickey RdGrand Prairie, TX 75051-3129 · (972) 262-4391 · Fax (972) 264-6135
Phone(972) 262-4391
Fax(972) 264-6135
Organization SubpartNo
Authorized OfficialWillliam FanPresident · (972) 262-4391
Enumeration DateFebruary 17, 2007
Last NPPES UpdateMarch 23, 2009
✔ NPI 1710021274 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 · 4925TG
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.
625 W DICKEY RD, Grand Prairie, TX 75051
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Other Identifiers 3

Medicaid112248401TX
Medicare PIN00619UTX
Medicare NSC3905380001TX

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 Louisiana, Blue Cross Blue Shield of Wyoming, Oscar Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 2

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

MED SOUTHWEST, PLLC
Optometrist
625 W DICKEY RD
GRAND PRAIRIE, TX 75051
Dallas County (972) 262-4391
DR. WILLIAM FAN O.D.
Optometrist
625 W DICKEY RD
GRAND PRAIRIE, TX 75051
Dallas County (972) 262-4391

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 William Fan, Od PA's NPI number?

The NPI number for William Fan, Od PA is 1710021274. It was assigned to this organization in the NPPES registry on February 17, 2007.

Where is William Fan, Od PA located?

William Fan, Od PA is located at 625 W Dickey Rd, Grand Prairie, TX 75051. The listed phone number is (972) 262-4391.

What is William Fan, Od PA's specialty?

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

What insurance does William Fan, Od PA accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Oscar Insurance Company list William 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 William Fan, Od PA was last updated on March 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.