CHARLES S. GANNON MD – NPI #1053303024
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

CHARLES GANNON is an ophthalmologist located in TUCSON, AZ. NPPES has assigned the NPI number 1053303024 to CHARLES GANNON on August 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 14 years ago on May 03, 2012. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHARLES GANNON below.

NPI Profile for
CHARLES S. GANNON

NPI Number
1053303024
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
CHARLES S. GANNON
Credentials
MD
Primary location
1645 N. ALVERNON WAY #1
TUCSON, AZ 85712
Phone: (520) 881-7474 Fax: (520) 881-0676
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for CHARLES GANNON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAZ221193
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
AZ 6156

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.