Hakim, Edmond Roger
Hakim, Edmond Roger is an sole proprietor health care provider with primary practice located at 254 Norton Ave Ste 1 , Barberton OH 44203-1932. He recently has 5 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Vision Therapy, Eye and Vision Services Providers / Occupational Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hakim, Edmond Roger can be contacted via phone (330) 753-2004.Contact Information
Primary practice address
254 Norton Ave Ste 1
Barberton OH 44203-1932
Phone: (330) 753-2004
Fax: (330) 753-2004
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3802 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 003802-T842 | Ohio |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3802-T842 | Ohio |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 3802-T842 | Ohio |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | 3802-T842 | Ohio |
| Eye and Vision Services Providers / Occupational Vision | 152WX0102X | 3802-T842 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3802-T842 | Ohio |
Profile Details
| NPI number | 1609975846 |
|---|---|
| LBN Legal business name | Hakim, Edmond Roger |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 22nd, 2006 |
| Last updated | Dec 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609975846 | NPPES |
| Ohio | MEDICAID | 0595020 | |
| Ohio | Other | 1632590400 | |
| Ohio | Other | 34-1531581 | |
| Ohio | Other | 341531581-001 | |
| Ohio | Other | 000000133457 | |
| Ohio | Other | Q015690 | |
| Ohio | Other | 1609975846 | |
| Ohio | Other | 1609975846 | |
| Ohio | Other | 34-1531581 | |
| Ohio | Other | 000000166347 | |
| Ohio | Other | 2200596 | |
| Ohio | Other | 000000133457 |
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