Provider Demographics
NPI:1184780827
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:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
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 MINT HILL RD
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-2308
Mailing Address - Country:US
Mailing Address - Phone:704-847-1030
Mailing Address - Fax:704-849-8261
Practice Address - Street 1:1419A MATTHEWS MINT HILL RD
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-2308
Practice Address - Country:US
Practice Address - Phone:704-847-1030
Practice Address - Fax:704-849-8261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1006152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC10048OtherSPECTERA
NCNC1006OtherEYEMED
NC7902925Medicaid
NCNC1006OtherVISION BENEFIT PLAN OF AM
NC02925OtherBLUE CROSS BLUE SHIELD
NCNC1006OtherEYEMED
NCNC1006OtherVISION BENEFIT PLAN OF AM
NC=========OtherCOMP BENEFITS
NC7902925Medicaid
NC2334787Medicare PIN
NC02925OtherBLUE CROSS BLUE SHIELD