Dr. William 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. William Fan has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. William Fan, OD was a registered Optometrist in Plano, TX. Prior to record deactivation on 2006-03-25, Dr. Fan completed approximately 13 years of clinical practice following graduation from New England College Of Optometry in 1993.
Dr. Fan was affiliated with Med Southwest Pllc and accepted Medicare assignment.
Historical Medicare Part B clinical services included established patient complete exam of visual system. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
708 E 15th St Ste A
Plano, TX 750745774
Medicare Profile & Education
New England College Of Optometry
1993
✓ 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 |
|---|---|---|---|---|
|
92014
Established patient complete exam of visual system
|
12 | 12 | $85.00 | $82.76 |
Medical Specialties & State Licenses
CMS Verified: 2023-11-13NUCC 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.
Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Med Southwest Pllc
625 W Dickey Rd, Grand Prairie, TX 750513129
Phone: 9722624391
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
Registered at 708 E 15TH ST STE A, PLANO, TX 750745774 (Tel: 9725098555)
Registered at 708 E 15TH ST STE A, PLANO, TX 750745774 (Tel: 9725098555)
Registered at 1950 OLD GALLOWS RD STE 520, VIENNA, VA 221823970 (Tel: 7038478899)
Registered at 625 W DICKEY RD, GRAND PRAIRIE, TX 750513129 (Tel: 9722624391)
Registered at 625 W DICKEY RD, GRAND PRAIRIE, TX 750513129 (Tel: 9722624391)
Recorded as WILLIAM FAN, O.D.
Optometrist (License #4925TG 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 Ste A
Plano, TX 750745774
Phone: 9725098555
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