Provider Demographics
NPI:1336589175
Name:BAKIR, ROBA (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBA
Middle Name:
Last Name:BAKIR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 HAMPTON POINTE BLVD
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278
Mailing Address - Country:US
Mailing Address - Phone:919-643-2015
Mailing Address - Fax:919-643-2011
Practice Address - Street 1:501 HAMPTON POINTE BLVD
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278
Practice Address - Country:US
Practice Address - Phone:919-643-2015
Practice Address - Fax:919-643-2011
Is Sole Proprietor?:No
Enumeration Date:2013-06-25
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2318152W00000X
VA0618002236152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist