National Provider Identifier
Carol Fan, O.D
Carol Fan, O.D is listed in the NPPES registry with a primary specialty of Optometrist in Cheektowaga, NY and a listed phone number of (716) 684-3960.
Profile Overview
- NPI
- 1326270414
- Provider Type
- Individual
- Primary Specialty
- Optometrist
- Enumeration Date
- August 21, 2009
- Last Updated
- August 21, 2009
Practice Location
- 2000 Walden Ave
- Cheektowaga, NY 14225-5454
Phone: (716) 684-3960
Specialties
- Optometrist (152W00000X)
Full Record
- NPI
- 1326270414
- Entity Type
- Individual
- Last Name
- Fan
- First Name
- Carol
- Name Prefix
- Dr.
- Credential
- O.D
- Mailing Street Address
- 2000 Walden Ave
- Mailing City
- Cheektowaga
- Mailing State
- NY
- Mailing ZIP Code
- 14225-5454
- Mailing Country
- US
- Practice Street Address
- 2000 Walden Ave
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-5454
- Practice Country
- US
- Practice Phone
- (716) 684-3960
- Enumeration Date
- August 21, 2009
- Last Updated
- August 21, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optometrist (152W00000X)