Organization Active NPI

Matthew a. Gahn, O.D.

Doing business as Eveleth Eyecare Center

  • Eyewear Supplier
  • Eveleth, MN
National Provider Identifier
1649456641
Registry record updated Feb 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
2080 Issued in MN
Legal business name
MATTHEW A. GAHN, O.D.
Doing business as
Eveleth Eyecare Center
Practice address
314 Grant Ave
Eveleth, MN 55734-1524
Phone
(218) 744-4528
NPI assigned
Jan 21, 2008
Last updated
Feb 18, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2009

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

Authorized official

Name
Dr. Matthew Arnold Gahn, O.D.NPI 1548241938
Title
Owner
Phone
(218) 744-4528

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2080 MN Primary

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 names 1

  • Eveleth Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

420 Grant Ave
Eveleth, MN 55734
Phone (218) 744-4528

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234915200000",
    "number": "1649456641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 GRANT AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341524",
            "telephone_number": "218-744-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 GRANT AVE",
            "city": "EVELETH",
            "state": "MN",
            "postal_code": "557341524",
            "telephone_number": "218-744-4528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW A. GAHN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-21",
        "last_updated": "2009-02-18",
        "status": "A",
        "authorized_official_last_name": "GAHN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-744-4528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MN",
            "license": "2080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eveleth Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eveleth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.