DR. ROBERT MITCHELL THACKER (O.D.) – Optometrist, NPI 1003874991
Optometrist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
225 OPTOMETRY in RI
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Provider Addresses for DR. ROBERT MITCHELL THACKER (O.D.)
1466, Broad Street, Providence, Providence County, Rhode Island, 02905, United States
PROVIDENCE, RI 029052836
Phone: (401) 941-6221
Fax: (401) 941-6227
Type: Location
506, Fish Hill Road, West Greenwich, Kent County, Rhode Island, 02817, United States
WEST GREENWICH, RI 028172209
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-05-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100503000021 | I | Optometry | RI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 50 | 50 | $0 |
| 92250 | Photography of the retina | 16 | 15 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 15 | 12 | $0 |
Insurance plans in this area (ZIP 02905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P T O M E T R Y | RI | |
| O P T O M E T R Y | RI | |
| O P T O M E T R Y | RI |
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