Individual
DR. JOHN F FANNING
Active
Individual
DR. JOHN F FANNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OH 3707
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000119325
ANTHEM BLUE CROSS
OH
01
—
0809637
AETNA
OH
01
—
2200157
UNITED HEALTHCARE
OH
01
—
23837
SPECTERA
OH
01
—
OH-3707
EYEMED
OH
Enumeration date
02/02/2007
Last updated
01/09/2008
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