Whalio Doctors

NPI 1003461666

Charis-Ann Ricketts, OD

Practitioner Optometrist Jamaica, NY

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
Eye and Vision Services Providers Taxonomy 152W00000X Licence TUV009750-01 (NY)
Optometrist
Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC5661 (FL)

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.