Provider Demographics
NPI:1215721477
Name:THATCHER, ROBERT (LDO)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:THATCHER
Suffix:
Gender:
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 E GERMANN RD
Mailing Address - Street 2:VISION CENTER
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286
Mailing Address - Country:US
Mailing Address - Phone:480-812-2948
Mailing Address - Fax:480-812-2950
Practice Address - Street 1:2750 E GERMANN RD
Practice Address - Street 2:VISION CENTER
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85286
Practice Address - Country:US
Practice Address - Phone:480-812-2948
Practice Address - Fax:480-812-2950
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician