Robert Mitchell Thacker, O.D.
NPI 1003874991ActiveIndividual· Optometrist· Providence, RI
Optometrist (O.D.) in Providence, Rhode Island, trained at New England College of Optometry (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $8,557 for 305 claims, against $3,221 paid for services in 2024. Lkc Technologies, Inc. reported $12.86 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1003874991 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | O.D. |
| Sole proprietor | No |
| NPI issued | May 2, 2006 |
| Last updated in NPPES | Sep 19, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | ODTA00456 | RI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Optometry (RI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 36 |
|---|---|
| Services billed | 553 across 8 procedure codes |
| Paid by Medicare | $3,221 |
Part D prescriptions in 2024
| Prescriptions (claims) | 305 · 478 30-day fills |
|---|---|
| Patients | 129 |
| Total drug cost | $8,557 |
| Generic share | 92% of claims |
Education and affiliations
| Medical school | New England College of Optometry |
|---|---|
| Graduation year | 1993 |
| Medicare specialty | Optometry |
Medical group
- George D Bertherman,o.D., Inc.Providence, RI · 3 clinicians
Industry payments (Open Payments)
- 2025$12.86 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lkc Technologies, Inc. | $12.86 | 1 |
What the 2025 payments were for
- Food and Beverage$12.86 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Optometrist providers in Providence
- 1518973056
- 1922661685
- 1073959151
- 1053512236
- 1063141166
- 1316072143
- 1376054445
- 1396251740
- 1225207038
- 1669650644
- 1619036589
- 1144845017