Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
DR. JOHN EDWARD FAGAN JR.
Active
Individual
DR. JOHN EDWARD FAGAN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1688
OR
152W00000X
Optometrist
Primary
7946T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619129921
NPPES
CA
05
—
BL893
—
CA
Enumeration date
08/26/2005
Last updated
10/31/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up