Dr. Robert Mitchell Thacker is a Providence, Rhode Island based male Optometrist with 31 years of experience in Optometry. He completed his graduation from New England College Of Optometry in 1993. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Robert Mitchell Thacker is ODTA00456 for Optometry in Rhode Island. Dr. Robert Mitchell Thacker examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Robert Mitchell Thacker speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
31+ years
Medical School Attended:
New England College Of Optometry
Graduation Year:
1993
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
1466 Broad St, Providence, Rhode Island, 02905-2836
Phone:
401-941-6221
Fax:
401-941-6227
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
5496883001
Enrollment ID:
I20100503000021
NPI Number:
1003874991
NPI Enumeration Date:
02 May, 2006
NPI Last Update On:
19 Sep, 2013
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Robert Mitchell Thacker are as mentioned below.
License Number
Specialization
State
Status
ODTA00456
Optometry
Rhode Island
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Dr. Robert Mitchell Thacker has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
George D Bertherman, O.d., Inc. (1355441858)
4
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
506 Fish Hill Rd, West Greenwich, Rhode Island
Zip:
02817-2209
Phone Number:
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Fax Number:
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Patients can reach Dr. Robert Mitchell Thacker at 1466 Broad St, Providence, Rhode Island or can call to book an appointment on 401-941-6221. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.