Most Relevant Information
Provider Data
| NPI Number: | 1003461666 |
| Provider Name: | CHARIS-ANN RICKETTS O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | OPC5661 |
Most Important Dates
| Enumeration Date: | 08/09/2019 |
| Last Updated: | 01/02/2024 |
Provider Practice Location
89-44 164TH ST
JAMAICA
NY
114326103
Practice Location Phone/Fax
| Phone: | 7185232123 |
| Fax: | 7185235833 |
Provider Mailing Location
60 MADISON AVE
NEW YORK
NY
100101600
Provider Mailing Phone/Fax
| Phone: | 2125452400 |
| Fax: |