1932284189 NPI number — DR ANDREW G HAHN AND ASSOCIATES OPTOMETRY PA

Table of content: (NPI 1932284189)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932284189 NPI number — DR ANDREW G HAHN AND ASSOCIATES OPTOMETRY PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR ANDREW G HAHN AND ASSOCIATES OPTOMETRY PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HAHN EYE CENTER
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932284189
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1419A MATTHEWS MINTHILL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MATTHEWS
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28105-2380
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-847-1030
Provider Business Mailing Address Fax Number:
704-849-8261

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8506 SOUTH TRYON
Provider Second Line Business Practice Location Address:
SUITE 100 A
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28273-3312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-588-5210
Provider Business Practice Location Address Fax Number:
704-588-8199
Provider Enumeration Date:
10/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
DUNN
Authorized Official First Name:
ERICA
Authorized Official Middle Name:
MEREDITH
Authorized Official Title or Position:
ADMIN
Authorized Official Telephone Number:
704-847-1030

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 2200276 . This is a "UHC ANDREW HAHN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2998844 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 02925 . This is a "BCBS" identifier , issued by the state of ( NC ) . This identifiers is of the category "OTHER".
  • Identifier: 20721 . This is a "COMMUNITY EYE CARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7902925 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 09347 . This is a "NC HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 902415 . This is a "BLOCK" identifier . This identifiers is of the category "OTHER".
  • Identifier: VNC000910 . This is a "AVESIS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 12093387 . This is a "MULTI PLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 10029 . This is a "SPECTERA" identifier . This identifiers is of the category "OTHER".
  • Identifier: NC1006 . This is a "EYEMED" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com