Individual provider Active NPI

Hakim R Serhrouchni, O.D.

  • Optometrist
  • New York, NY
National Provider Identifier
1336275304
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV005904-1 Issued in NY
Practice address
10 Sheridan SQ
New York, NY 10014-6824
Phone
(212) 242-6592
Fax
(212) 691-3262
NPI assigned
Feb 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV005904-1 NY Primary

Addresses

Primary practice location

10 Sheridan SQ
New York, NY 10014-6824

Mailing address

10 Sheridan SQ
New York, NY 10014-6824
Phone (212) 242-6592

Other identifiers 1

IdentifierTypeStateIssuer
01815576MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TUV005904-1NYMDOptometrist
005904NYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laguardia Place Optometry PLLC Optometrist Current Accepting new patients
West Village Eyecare Associates Optometrist Current Accepting new patients
Optometric Eye Services LLC Optometrist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1336275304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SHERIDAN SQ",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146824",
            "telephone_number": "212-242-6592",
            "fax_number": "212-691-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SHERIDAN SQ",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100146824",
            "telephone_number": "212-242-6592",
            "fax_number": "212-691-3262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERHROUCHNI",
        "first_name": "HAKIM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV005904-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01815576",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.