Provider Demographics
NPI:1003011040
Name:CHITKARA, ARCHANA RANI (OD)
Entity Type:Individual
Prefix:
First Name:ARCHANA
Middle Name:RANI
Last Name:CHITKARA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:MONICA
Other - Middle Name:RANI
Other - Last Name:CHITKARA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2296 HETTER ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9151
Mailing Address - Country:US
Mailing Address - Phone:614-353-0797
Mailing Address - Fax:
Practice Address - Street 1:5555 HILLIARD ROME OFFICE PARK
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-7287
Practice Address - Country:US
Practice Address - Phone:614-777-1111
Practice Address - Fax:614-777-7920
Is Sole Proprietor?:No
Enumeration Date:2007-06-19
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4630T1383152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHU58024Medicare UPIN