Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Robert Mitchell Thacker, OD

Individual provider Optometrist · NPI 1003874991

Dr. Robert Mitchell Thacker, OD is an Optometry in Providence, Rhode Island. Graduated from New England College of Optometry in 1993, 33 years ago. Practices with George D Bertherman, OD, Inc, a 4-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
33
Trained at
New England College of Optometry
Licensed in
RI
In the registry since
2006
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

1466 Broad St
Providence, RI 02905-2836
Phone: (401) 941-6221
Fax: (401) 941-6227
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence ODTA00456 (RI)

Record details

NPI number1003874991
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESSeptember 19, 2013
Mailing address506 Fish Hill Rd, West Greenwich, RI 02817-2209

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolNEW ENGLAND COLLEGE OF OPTOMETRY
Graduated 1993 (33 years in practice)
Group practice George D Bertherman,O.D., Inc. — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence