Individual
DR. EDMOND ROGER HAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
254 NORTON AVE STE 1, BARBERTON, OH 44203-1932
(330) 753-2004
(330) 753-2004
Mailing address
254 NORTON AVE, SUITE 1, BARBERTON, OH 44203-1932
(330) 753-2004
(330) 753-2004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
003802-T842
OH
152W00000X
Optometrist
3802
OH
152W00000X
Optometrist
Primary
3802-T842
OH
152WC0802X
Corneal and Contact Management Optometrist
3802-T842
OH
152WP0200X
Pediatric Optometrist
3802-T842
OH
152WV0400X
Vision Therapy Optometrist
3802-T842
OH
152WX0102X
Occupational Vision Optometrist
3802-T842
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000133457
OHIO BC BS
OH
01
—
000000166347
ANTHEM
OH
05
—
0595020
—
OH
01
—
1609975846
OPTOMETRIC SERVICES
OH
01
—
1632590400
CIGNA
OH
01
—
2200596
UNITED HEALTHCARE
OH
01
—
34-1531581
SUMMA HEALTHCARE
OH
01
—
341531581-001
MEDICAL MUTUAL
OH
01
—
Q015690
HEALTH PLAN
OH
Enumeration date
09/22/2006
Last updated
12/19/2023
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