Organization
HAKIM OPTICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HASAN BASHIR HAKIM M.D. (OWNER)
(313) 581-3888
Entity
Organization
Contact information
Practice address
14628 W WARREN AVE, DEARBORN, MI 48126-1560
(313) 581-3888
(313) 347-1624
Mailing address
14650 W WARREN AVE, DEARBORN, MI 48126-1799
(313) 581-3888
(313) 347-1624
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
207W00000X
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3407965
—
MI
Enumeration date
09/18/2008
Last updated
12/26/2008
Update your record
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