Individual provider Active NPI

Stephanie Kay Hahn, O.D.

  • Optometrist
  • Matthews, NC
National Provider Identifier
1780026781
Registry record updated Sep 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2333 Issued in NC
Practice address
1419A Matthews Mint Hill Rd
Matthews, NC 28105-2308
Phone
(704) 847-1030
Fax
(704) 849-8261
NPI assigned
Jul 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1763 SC
Optometrist 152W00000X 2333 NC Primary

Addresses

Primary practice location

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

Mailing address

8506 S Tryon St Ste a
Charlotte, NC 28273-3549
Phone (704) 588-5210

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
I20140430000231 NC Practitioner - Optometry 1052544947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2013
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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2333NCMDOptometrist
1763SCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Andrew G Hahn and Associates Optometry PA Optometrist CurrentSince Jan 27, 2014 Accepting new patients
Dr Andrew G Hahn and Associates Optometry PA Optometrist CurrentSince Jan 27, 2014 Accepting new patients

Locations

8506 S Tryon St
Charlotte, NC 28273

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1780026781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8506 S TRYON ST STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282733549",
            "telephone_number": "704-588-5210",
            "fax_number": "704-588-8199"
        },
        {
            "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": [],
    "basic": {
        "last_name": "HAHN",
        "first_name": "STEPHANIE",
        "middle_name": "KAY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "1763",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matthews, NC

Sources for this page

Verify at the official NPI Registry.