Matthew a. Gahn, O.D.
Organization Active NPI Eyewear Supplier · Eveleth, MN
NPI 1649456641 · NPPES record last updated Feb 18, 2009
Key facts
- NPI
- 1649456641
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- 2080 (MN)
- Legal business name
- MATTHEW A. GAHN, O.D.
- Practice address
- 314 Grant Ave
Eveleth, MN 55734-1524 - Phone
- (218) 744-4528
- NPI assigned
- Jan 21, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Matthew Arnold Gahn, O.D.
- Title
- Owner
- Phone
- (218) 744-4528
National Provider Directory
Locations
420 Grant Ave
Eveleth, MN 55734
Phone (218) 744-4528
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 2080 | MN | Yes |
Addresses
Primary practice location
314 Grant Ave
Eveleth, MN 55734-1524
Mailing address
314 Grant Ave
Eveleth, MN 55734-1524
Phone (218) 744-4528
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4C965GA | Other | MN | BLUE CROSS BLUE SHIELD |
Other names
- Eveleth Eyecare Center
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All providers in Eveleth, MN · Eyewear Supplier in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.