Provider Demographics
NPI:1164013587
Name:CARTER, RIKKIA RACHEA
Entity Type:Individual
Prefix:
First Name:RIKKIA
Middle Name:RACHEA
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RIKKIA
Other - Middle Name:RACHEA
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1950 S ROCHESTER RD # 1225
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307-3534
Mailing Address - Country:US
Mailing Address - Phone:248-739-1270
Mailing Address - Fax:
Practice Address - Street 1:1950 S ROCHESTER RD # 1225
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307-3534
Practice Address - Country:US
Practice Address - Phone:248-739-1270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-28
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156F00000XEye and Vision Services ProvidersTechnician/Technologist