Suchita K Thakkar, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODTA00535 Issued in RI

Practice address

1875 Mineral Spring Ave
Optometric Providers of Rhode Island, Inc
N Providence, RI 02904-3719

Phone

(401) 353-3200

Fax

(401) 353-4010

NPI assigned

Nov 21, 2007

Last updated

Nov 21, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1174704928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 ERIE BLVD E",
            "address_2": "OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132241430",
            "telephone_number": "315-446-3145",
            "fax_number": "315-445-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 MINERAL SPRING AVE",
            "address_2": "OPTOMETRIC PROVIDERS OF RHODE ISLAND, INC",
            "city": "N PROVIDENCE",
            "state": "RI",
            "postal_code": "029043719",
            "telephone_number": "401-353-3200",
            "fax_number": "401-353-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKKAR",
        "first_name": "SUCHITA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-21",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "RI",
            "license": "ODTA00535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen R Ricco, LADC1, LCSW
• Sharon E Roberts, MSW, LICSW
• Srisakula Sangchanintra
• Spino Opticians
• St. Joseph Health Services of Rhode Island (Southern New England Rehabilition)
• Uchechukwu Ugorji, DO
• Bhaskar R Vyas
• Rebecca Parham Watson, PA-C

• Optometrist in N Providence, RI
• Providers in N Providence, RI by specialty
• Optometrist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.