NPI 1003461666
Charis-Ann Ricketts, OD
Practice location
- Address
- 89-44 164th St, Jamaica, NY 11432-6103
- Phone
- (718) 523-2123
- Fax
- (718) 523-5833
- Mailing address
- 60 Madison Ave, New York, NY 10010-1600
Registered specialties (2)
Optometrist
Primary
Optometrist
Registry record
- NPI
- 1003461666
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 9 Aug 2019
- Record last updated
- 2 Jan 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.