Individual provider · Type 1 NPI

Jennie Jessica Fan, OD

Optometrist · Los Angeles, CA

NPI number 1801093570 Active

Practice location

1300 N Vermont Ave, Doctor's Tower, Suite 101
Los Angeles, CA 90027-6005

Mailing address

28281 Somerset
Mission Viejo, CA 92692-2889

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X13246 (CA)

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 1801093570

Jennie Jessica Fan, OD's National Provider Identifier is 1801093570, issued on Jun 27, 2007. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 8, 2007.