Provider Demographics
NPI:1740410323
Name:HACKLEY, JAMES AARON (OD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:AARON
Last Name:HACKLEY
Suffix:
Gender:
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 SUGARBUSH CT
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-9737
Mailing Address - Country:US
Mailing Address - Phone:419-289-6466
Mailing Address - Fax:
Practice Address - Street 1:637 N UNION ST
Practice Address - Street 2:
Practice Address - City:LOUDONVILLE
Practice Address - State:OH
Practice Address - Zip Code:44842-1074
Practice Address - Country:US
Practice Address - Phone:419-994-4287
Practice Address - Fax:419-281-4067
Is Sole Proprietor?:No
Enumeration Date:2009-07-17
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5864152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist