Individual
DR. EDMOND ROGER HAKIM
Active
Individual
DR. EDMOND ROGER HAKIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
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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