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MR. CHARLES SANFORD GANNON MD
NPI 1053303024
Ophthalmology in Tucson, AZ

Active since August 16, 2005
1645 N. ALVERNON WAY #1, TUCSON, AZ 85712(520) 881-7474(520) 881-0676 Get Directions Write a Review

NPPES record last updated: May 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Charles Sanford Gannon Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHARLES SANFORD GANNON MD (NPI 1053303024) is an individual ophthalmology provider in Tucson, Arizona, licensed in Arizona (6156) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1053303024
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMR. CHARLES SANFORD GANNONCredential: MD
Location Address1645 N. ALVERNON WAY #1Tucson, AZ 85712
Mailing Address1645 N. Alvernon Way #1Tucson, AZ 85712-3353 · (520) 881-7474 · Fax (520) 881-0676
Phone(520) 881-7474
Fax(520) 881-0676
Sole ProprietorYes
Enumeration DateAugust 16, 2005
Last NPPES UpdateMay 3, 2012
✔ NPI 1053303024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in AZ · 6156
Definition
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.

Other Identifiers 3

Medicare UPINC99509AZ
Medicare NSC0294670001
Medicaid221193AZ

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Gannon's NPI number?

The NPI number for Charles Gannon is 1053303024. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Charles Gannon located?

Charles Gannon practices at 1645 N. Alvernon Way #1, Tucson, AZ 85712. The listed phone number is (520) 881-7474.

What is Charles Gannon's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Charles Gannon was last updated on May 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.