Individual provider · Type 1 NPI

Courtney Wen Ying Fan, OD

Optometrist · Imlay City, MI

NPI number 1629730122 Active

Practice location

1793 S Cedar St
Imlay City, MI 48444-1342

Fax (810) 721-9512

Mailing address

118 Cass Ave
Mount Clemens, MI 48043-2204

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X4901005375 (MI)

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 e…

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About NPI 1629730122

Courtney Wen Ying Fan, OD's National Provider Identifier is 1629730122, issued on Oct 12, 2021. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Imlay City, MI. The record was last updated on Apr 10, 2025.