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DR. JENNIE JESSICA FAN OD
NPI 1801093570
Optometrist in Los Angeles, CA

Active since June 27, 2007PECOS Enrolled
1300 N VERMONT AVE, DOCTOR'S TOWER, SUITE 101, LOS ANGELES, CA 90027(323) 667-2102 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennie Jessica Fan Od NPPES

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

DR. JENNIE JESSICA FAN OD (NPI 1801093570) is an individual optometrist in Los Angeles, California, licensed in California (13246) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801093570
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JENNIE JESSICA FANCredential: OD
Location Address1300 N VERMONT AVE, DOCTOR'S TOWER, SUITE 101Los Angeles, CA 90027-6005
Mailing Address28281 SomersetMission Viejo, CA 92692-2889 · (949) 581-2239 · Fax (949) 472-8163
Phone(323) 667-2102
Sole ProprietorNo
Enumeration DateJune 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1801093570 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 CA · 13246
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.
1300 N VERMONT AVE, Los Angeles, CA 90027
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennie Jessica Fan Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 20

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

ANOOSHEH NIKKAR PA-C
Physician Assistant (Surgical)
1300 N VERMONT AVE, #1006
LOS ANGELES, CA 90027
Los Angeles County (323) 361-2169
DR. RALPH WATCHI MD
Pediatrics
1300 N VERMONT AVE, SUITE 901
LOS ANGELES, CA 90027
Los Angeles County (323) 912-9221
DR. RAM KUMAR SHARMA M.D.
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (213) 413-3000
DR. SUNG HWAN KIM M.D.
Anesthesiology
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (213) 413-3000
DR. CHRISTINA SOUTHER MARTIN MD
Surgery
1300 N VERMONT AVE, #704
LOS ANGELES, CA 90027
Los Angeles County (310) 526-0290
ERNEST JAMES RIN MD
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (213) 413-3000
HOLLYWOOD EMERGENCY PHYSICIANS
Emergency Medicine
1300 N VERMONT AVE
LOS ANGELES, CA 90027
Los Angeles County (323) 913-4892
DR. DALLAS COTTAM M.D.
Emergency Medicine
1300 N VERMONT AVE, SUITE 403 DOCTORS TOWER
LOS ANGELES, CA 90027
Los Angeles County (323) 644-1300

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 Jennie Fan's NPI number?

The NPI number for Jennie Fan is 1801093570. It was assigned to this individual provider in the NPPES registry on June 27, 2007.

Where is Jennie Fan located?

Jennie Fan practices at 1300 N Vermont Ave Doctor's Tower, Suite 101, Los Angeles, CA 90027. The listed phone number is (323) 667-2102.

What is Jennie Fan's specialty?

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

Is Jennie Fan enrolled in Medicare?

Yes. Jennie Fan is registered in the Medicare PECOS enrollment system.

What insurance does Jennie Fan accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 1 other insurer list Jennie 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 Jennie Fan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.