Dr. Jenny Fan , OD
Optometrist • Plano, TX
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jenny Fan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jenny Fan, OD was a registered Optometrist in Plano, TX. Prior to record deactivation on 2006-03-25, Dr. Fan completed approximately 6 years of clinical practice following graduation from New England College Of Optometry in 2000.
Dr. Fan was affiliated with Med Southwest Pllc and accepted Medicare assignment.
Historical Medicare Part B clinical services included established patient outpatient office visit, established patient problem focused exam of visual system, imaging of optic nerve. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
708 E 15th St
Suite A
Plano, TX 750745712
Medicare Profile & Education
New England College Of Optometry
2000
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Optometrist in Plano, TX
Practicing in Plano, TX (5156 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
47 | 27 | $120.00 | $86.71 |
Medical Specialties & State Licenses
CMS Verified: 2024-05-17NUCC Taxonomy Code: 152W00000X
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.
NUCC Taxonomy Code: 152WC0802X
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
Hospital & Practice Group Affiliations
Med Southwest Pllc
708 E 15th St, Plano, TX 750745774
Phone: 9725098555
Med Southwest Pllc
2703 Richmond Rd, Texarkana, TX 755032328
Phone: 9038380783
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Optometrist
Doctor of Optometry
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Optometrist (License #5903TG in TX)
Registered at 708 E 15TH ST, SUITE A, PLANO, TX 750745712 (Tel: 9725098555)
Registered at 708 E 15TH ST, SUITE A, PLANO, TX 750745712 (Tel: 9725098555)
Recorded as JENNY FAN, O.D.
Optometrist (License #5903TG in TX)
Record officially reactivated for active practice on March 30, 2006
Record deactivated on March 25, 2006
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
708 E 15th St, Suite A
Plano, TX 750745712
Phone: 9725098555
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