Active NPI
Shereen Hakki, PHD OD
- Optometrist
- Phillipsburg, NJ
National Provider Identifier
1639271919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5409
- Practice address
- Route 22 E & Route 519
Phillipsburg, NJ 08865 - Phone
- (908) 859-9050
- NPI assigned
- Sep 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 5409 | NJ | Primary |
Addresses
Primary practice location
Route 22 E & Route 519
Phillipsburg, NJ 08865
Mailing address
1705 Chippewa Ridge
Ambler, PA 19002
Phone (908) 859-9050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5409 | NJ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luxottica of America Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639271919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 CHIPPEWA RIDGE",
"city": "AMBLER",
"state": "PA",
"postal_code": "19002",
"telephone_number": "908-859-9050",
"fax_number": "908-859-6186"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROUTE 22 E & ROUTE 519",
"city": "PHILLIPSBURG",
"state": "NJ",
"postal_code": "08865",
"telephone_number": "908-859-9050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKKI",
"first_name": "SHEREEN",
"name_prefix": "Dr.",
"credential": "PHD OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NJ",
"license": "5409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phillipsburg, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.