Healthcare Provider Details

I. General information

NPI: 1154597631
Provider Name (Legal Business Name): HAKIM EYE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5250 AUTO CLUB DRIVE SUITE 210
DEARBORN MI
48126
US

IV. Provider business mailing address

5250 AUTO CLUB DR STE 210
DEARBORN MI
48126-2619
US

V. Phone/Fax

Practice location:
  • Phone: 313-581-3888
  • Fax: 313-914-7617
Mailing address:
  • Phone: 313-581-3888
  • Fax: 313-914-7617

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QS0132X
TaxonomyOphthalmologic Surgery Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HASAN B. HAKIM
Title or Position: PHYSICIAN/OWNER
Credential: M.D.
Phone: 313-581-3888