Provider Demographics
NPI:1932284189
Name:DR ANDREW G HAHN AND ASSOCIATES OPTOMETRY PA
Entity Type:Organization
Organization Name:DR ANDREW G HAHN AND ASSOCIATES OPTOMETRY PA
Other - Org Name:HAHN EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:MEREDITH
Authorized Official - Last Name:DUNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-847-1030
Mailing Address - Street 1:1419A MATTHEWS MINTHILL RD
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2380
Mailing Address - Country:US
Mailing Address - Phone:704-847-1030
Mailing Address - Fax:704-849-8261
Practice Address - Street 1:8506 SOUTH TRYON
Practice Address - Street 2:SUITE 100 A
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-3312
Practice Address - Country:US
Practice Address - Phone:704-588-5210
Practice Address - Fax:704-588-8199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2021-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
2200276OtherUHC ANDREW HAHN
2998844OtherAETNA
NC02925OtherBCBS
20721OtherCOMMUNITY EYE CARE
NC7902925Medicaid
09347OtherNC HEALTHCARE
902415OtherBLOCK
VNC000910OtherAVESIS
12093387OtherMULTI PLAN
10029OtherSPECTERA
NC1006OtherEYEMED
NC02925OtherBCBS
VNC000910OtherAVESIS