NPI 1003874991
Robert Mitchell Thacker, OD
Practice location
- Address
- 1466 Broad St, Providence, RI 02905-2836
- Phone
- (401) 941-6221
- Fax
- (401) 941-6227
- Mailing address
- 506 Fish Hill Rd, West Greenwich, RI 02817-2209
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1003874991
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 2 May 2006
- Record last updated
- 19 Sep 2013
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.