Grace Jing-Wei Pan, O.D.

Optometrist · Cupertino, CA

Individual Active NPI

NPI number 1891809729

Practice location

10123 N Wolfe Rd
Suite 2144
Cupertino, CA 95014-2509
Phone
(408) 446-4004

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NPI record

NPI
1891809729
Entity type
Individual (Type 1)
Enumeration date
August 18, 2006
Last updated
November 5, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X OPT 13882 TPL CA
Optometrist 152W00000X 046009853 IL

About Dr. Pan

Grace Jing-Wei Pan, O.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 10123 N Wolfe Rd, Suite 2144, Cupertino, CA 95014-2509. The NPI number 1891809729 was assigned on August 18, 2006 and the record was last updated on November 5, 2010.

Dr. Pan lists 2 licenses in the registry: #OPT 13882 TPL (CA) for Optometrist; #046009853 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Grace Jing-Wei Pan, O.D.?

The NPI number is 1891809729.

What is the phone number of Dr. Pan?

The phone number listed for the practice location is (408) 446-4004.

Where is Dr. Pan located?

10123 N Wolfe Rd, Suite 2144, Cupertino, CA 95014-2509.

What is the taxonomy code for Dr. Pan?

The primary taxonomy code is 152W00000X – Optometrist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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