DR. Robert Mitchell Thacker, O.D.

NPI #1003874991 in Providence, Rhode Island

Provider Information

NPI Number: 1003874991
Entity Type: Individual
Name: DR. Robert Mitchell Thacker, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: May 2, 2006
Last Updated: Sep 19, 2013

Practice Location

Address: 1466 BROAD ST
City: Providence
State: Rhode Island
ZIP Code: 02905-2836
Phone: (401) 941-6221

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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