Thacker, Robert Mitchell

Thacker, Robert Mitchell is an individual health care provider with primary practice located at 1466 Broad St , Providence RI 02905-2836. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Thacker, Robert Mitchell can be contacted via phone (401) 941-6221.

Contact Information

Primary practice address
1466 Broad St Providence RI 02905-2836
Phone: (401) 941-6221
Fax: (401) 941-6227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODTA00456 Rhode Island

Profile Details

NPI number 1003874991
LBN Legal business name Thacker, Robert Mitchell
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Sep 19th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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