Individual
HOLLY ALYCE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
714 CONGRESS AVE STE 100, AUSTIN, TX 78701-3428
(512) 477-9000
(512) 477-9105
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6943TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82293Q
BLUE CROSS BLUE SHIELD PROVIDER NUMBER
TX
Enumeration date
07/17/2006
Last updated
11/03/2023
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