DR. JENNY FAN (O.D.) – Optometrist, NPI 1669466348

DR. JENNY FAN (O.D.) is a healthcare provider. based in Plano, Texas. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 5903TG (TX). The NPI Number for DR. JENNY FAN (O.D.) is 1669466348

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNY FAN (O.D.)
NPI
1669466348
Phone
(972) 509-8555
Address
708 E 15TH ST
Enumeration Date
8 September 2005
Deactivation Date
25 March 2006
Reactivation Date
30 March 2006
Last Update Date
17 May 2024

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
9038380783
Graduation Year
2000 (26 years ago)
PAC ID
6002848017
Group Practice PAC ID
4082952874
Professional Enrollment ID
I20050909000672
Address ID
TX755032328TE2703XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,128 OPTOMETRY in TX

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Provider Addresses for DR. JENNY FAN (O.D.)

  • 708, East 15th Street, Plano, Collin County, Texas, 75074, United States

    SUITE A

    PLANO, TX 750745712

    Phone: (972) 509-8555

    Fax: (972) 509-8556

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $629.

Total Amount is formed as General ($629) + Research ($0) + Ownership ($0) = $629.

Last reported payment date: 2024-10-04 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($264).

Total Amount

$629

General + Research + Ownership

Payments

8

Total payment records

General Amount

$629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050909000672IOptometryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes3626$0
View full utilization report →

Insurance plans in this area (ZIP 75074)

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Provider's Procedures

DR. JENNY FAN (O.D.) performs procedures in OPTOMETRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPTOMETRYTX92012Eye and medical examination for diagnosis and treatment, established patient2922
OPTOMETRYTX92083Measurement of field of vision during daylight conditions1211

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082952874View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P T O M E T R YOK
O P T O M E T R YCA
-TX
O P T O M E T R YTX
-VA
O P T O M E T R YTX
O P T O M E T R YTX
O P T O M E T R YVA
O P T O M E T R YTX

Reviews

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Frequently asked questions

Does DR. JENNY FAN (O.D.) have a public NPI I can cite?
Public records show DR. JENNY FAN (O.D.) under NPI 1669466348.
Is DR. JENNY FAN (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. JENNY FAN (O.D.) as active.
What type of care does DR. JENNY FAN (O.D.) provide?
DR. JENNY FAN (O.D.)'s profile centers on Optometrist. Clinical services aligned with this taxonomy classification.
Can patients visit DR. JENNY FAN (O.D.) in Plano, Texas?
For routing, start with Plano, Texas for DR. JENNY FAN (O.D.), then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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