Individual provider Active NPI

Andrew Gallant Hahn, OD

  • Optometrist
  • Matthews, NC
National Provider Identifier
1073507125
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1006 Issued in NC
Practice address
1419A Matthews Mint Hill Rd
Matthews, NC 28105-2308
Phone
(704) 847-1030
Fax
(704) 849-8261
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 652 SC
Optometrist 152W00000X OP1475 FL
Optometrist 152W00000X 1006 NC Primary

Addresses

Primary practice location

1419A Matthews Mint Hill Rd
Matthews, NC 28105-2308

Mailing address

1419A Matthews Mint Hill Rd
Matthews, NC 28105-2308
Phone (704) 847-1030

Other practice location 1

1419A Matthews Mint Hill Rd
Matthews, NC 28105-2308
Phone (704) 847-1030

Other identifiers 8

IdentifierTypeStateIssuer
2998844OtherAETNA
09347OtherNCBCBS
09347OtherNC HEALTHCHOICE
2200276OtherUNITED HEALTHCARE
VNC000910OtherAVESIS
8909347MedicaidNC
P00118919OtherRAILROAD MEDICARE
1006OtherCIGNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120214000666 NC Practitioner - Optometry 1759294325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1419 A Matthews Mint Hill Rd
Matthews, NC 28105-2308
Phone (704) 847-1030

8506 S Tryon St
Suite a
Charlotte, NC 28273-3549
Phone (704) 847-1030

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OP1475FLMDOptometrist
652SCMDOptometrist
1006NCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Andrew G Hahn and Associates Optometry PA Optometrist Current Accepting new patients
Dr Andrew G Hahn and Associates Optometry PA Optometrist CurrentSince Oct 1, 2003 Accepting new patients

Locations

8506 S Tryon St
Ste A
Charlotte, NC 28273
Phone (704) 588-5210

1419 Matthews Mint Hill Rd
#A
Matthews, NC 28105

1419A Matthews Mint Hill Rd
Matthews, NC 28105
Phone (704) 847-1030

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1073507125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419A MATTHEWS MINT HILL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052308",
            "telephone_number": "704-847-1030",
            "fax_number": "704-849-8261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419A MATTHEWS MINT HILL RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052308",
            "telephone_number": "704-847-1030",
            "fax_number": "704-849-8261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419A Matthews Mint Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281052308",
            "country_code": "US",
            "telephone_number": "704-847-1030",
            "fax_number": "704-849-8261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAHN",
        "first_name": "ANDREW",
        "middle_name": "GALLANT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "652",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP1475",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2998844",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09347",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC HEALTHCHOICE",
            "identifier": "09347",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2200276",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS",
            "identifier": "VNC000910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909347",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00118919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.