Fan, William

Fan, William is an individual health care provider with primary practice located at 708 E 15Th St Ste A , Plano TX 75074-5774. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fan, William can be contacted via phone (972) 509-8555.

Contact Information

Primary practice address
708 E 15Th St Ste A Plano TX 75074-5774
Phone: (972) 509-8555
Fax: (972) 509-8556
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4925TG Texas

Profile Details

NPI number 1912991415
LBN Legal business name Fan, William
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Nov 15th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912991415 NPPES
Texas MEDICAID 157827001

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