Dr Robert Mitchell Thacker, OD | |
1466 Broad St, Providence, RI 02905-2836 | |
(401) 941-6221 | |
(401) 941-6227 |
Full Name | Dr Robert Mitchell Thacker |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 31 Years |
Location | 1466 Broad St, Providence, Rhode Island |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003874991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | ODTA00456 (Rhode Island) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
George D Bertherman,o.d., Inc. | 1355441858 | 4 |
Provider Name | George D Bertherman,o.d., Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316072143 PECOS PAC ID: 1355441858 Enrollment ID: O20070712000837 |
Mailing Address | Practice Location Address |
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Dr Robert Mitchell Thacker, OD 506 Fish Hill Rd, West Greenwich, RI 02817-2209 Ph: () - | Dr Robert Mitchell Thacker, OD 1466 Broad St, Providence, RI 02905-2836 Ph: (401) 941-6221 |
Holly Rose Torres, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1 Hoppin St Ste 202, Providence, RI 02903 Phone: 401-444-6551 | |
Rhode Island Eye Institute Optometrist Medicare: Medicare Enrolled Practice Location: 150 E Manning St, Providence, RI 02906 Phone: 401-272-2020 | |
Eye Care Services Optometrist Medicare: Not Enrolled in Medicare Practice Location: 740 N Main St, Providence, RI 02904 Phone: 401-272-8282 Fax: 401-272-8284 | |
Eyediology Vision, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 245 Waterman St Ste 309, Providence, RI 02906 Phone: 732-668-9571 | |
East Side Vision Care Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 213 Thayer St, Providence, RI 02906 Phone: 401-421-4500 Fax: 401-421-3876 | |
Stephanie Sturgis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 891 Westminster St, Providence, RI 02903 Phone: 401-331-7850 Fax: 401-274-4739 |