DR. WILLIAM FAN (NPI# 1912991415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912991415 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM FAN |
| Credential | O.D. |
| Practice Address |
625 W Dickey Rd Grand Prairie TX 75051-3129 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 9722624391 |
| Practice Fax Number | 9722646135 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 5712236780 |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2020-10-06 |
| NPI Deactivation Date | 03/25/2006 |
| NPI Reactivation Date | 2006-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4925TG | TX | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 157827001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639299662 | William Fan | Chiropractor | 3635 Peachtree Industrial Blvd, Suite 500, Duluth, GA 30096-2806 | 2007-03-31 |
| 1902884000 | William Li-goon Fan | Internal Medicine | 3604 Bush St, 2nd Floor, Raleigh, NC 27609-7511 | 2006-01-09 |
| Street Address |
625 W DICKEY RD |
| City | GRAND PRAIRIE |
| State | TX |
| Zip Code | 75051-3129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033722699 | Med Southwest, Pllc | Optometrist | 625 W Dickey Rd, Grand Prairie, TX 75051-3129 | 2020-08-24 |
| 1710021274 | William Fan, Od Pa | Optometrist | 625 W Dickey Rd, Grand Prairie, TX 75051-3129 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750940342 | Laura Burdette | Counselor | 2801 Oster Dr., Building A Suite 300, Grand Prairie, TX 75051 | 2019-06-07 |
| 1871087460 | Cam Chau Huynh | Pharmacist | 2615 W Pioneer Pwky Suite 139, Grand Prairie, TX 75051 | 2018-06-18 |
| 1710416060 | Squeece Services LLC | Private Vehicle | 2304 Oak Ln Dr Suite 201, Grand Prairie, TX 75051 | 2017-06-09 |
| 1477000883 | Marshall Anderson | Specialist/Technologist | 101 Gopher Boulevard, Grand Prairie, TX 75051 | 2016-09-01 |
| 1932570934 | By His Grace Housecalls Inc | Nurse Practitioner | 2305 Oak Ln Ste 106, Grand Prairie, TX 75051 | 2015-10-15 |
| 1225453921 | Perfection Housecalls of Texas LLC | Nurse Practitioner | 2755 Furlong Dr, Grand Prairie, TX 75051 | 2014-03-04 |
| 1669619300 | Parker Health Care Services Inc | Nursing Care | 2305 Oak Lane Ste 211, Grand Prairie, TX 75051 | 2009-01-16 |
| 1861639718 | Jacqueline Lanae Fort | Contractor | 842 Pangburn St, Grand Prairie, TX 75051 | 2009-01-14 |
| 1386841625 | Omolara Abitoye | Pediatrics | 688 W Pioneer Pkwy Ste 120, Grand Prairie, TX 75051 | 2007-06-29 |
| 1750584934 | Mai Tram Phan | Dentist | 2100 S Great Sw Pky, Suite #102, Grand Prairie, TX 75051 | 2007-06-06 |
| Find all providers in zip 75051 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033777487 | National Vision Inc | Optometrist | 3166 South Highway 161, Suite 160, Grand Prairie, TX 75052 | 2019-05-31 |
| 1932629987 | 20/20 Icare and Iwear, Pllc | Optometrist | 4116 S Carrier Pkwy Ste 120, Grand Prairie, TX 75052-3245 | 2017-06-21 |
| 1245666957 | Sunita N Sunesra | Optometrist | 2650 S State Highway 161, Grand Prairie, TX 75052 | 2013-09-25 |
| 1689013633 | David Alonso | Optometrist | 3050 W Camp Wisdom Rd, Suite 140, Grand Prairie, TX 75052-4642 | 2013-06-21 |
| 1538405790 | Grand Prairie Advanced Eyecare Inc | Optometrist | 5224 Tx South 360, Suite 200, Grand Prairie, TX 75052 | 2012-12-17 |
| 1326355629 | Vision Plaza | Optometrist | 5224 S Sh 360, 200, Grand Prairie, TX 75052 | 2010-09-08 |
| 1932386521 | Mychele Tran | Optometrist | 2615 W Pioneer Pkwy Ste 105, Grand Prairie, TX 75051-3602 | 2008-01-25 |
| 1861537615 | William J. Luck | Optometrist | 814 W Main St, Grand Prairie, TX 75050-5515 | 2007-02-20 |
| 1801936463 | Quang Duy Nguyen | Optometrist | 4620 Friars Ln, Grand Prairie, TX 75052-3609 | 2007-02-06 |
| 1487700381 | Anne K Webb | Optometrist | 2634 S Carrier Pkwy Ste 101, Grand Prairie, TX 75052-5005 | 2007-01-25 |
| Find all providers in GRAND PRAIRIE | ||||
| City | GRAND PRAIRIE |
| Zip Code | 75051 |
Please comment or provide details below to improve the information on DR. WILLIAM FAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.