Individual
DR. ALAN B RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 WATERS EDGE DR, SHREVEPORT, LA 71106-7774
(318) 455-5569
Mailing address
112 WATERS EDGE DR, SHREVEPORT, LA 71106-7774
(318) 455-5569
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
05012R
LA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD.05012R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053315846
GROUP NPI NUMBER
LA
01
—
106524503
TEXAS MEDICAID
TX
01
—
129700001
ARKANSAS MEDICAID
AR
05
—
1305553
—
LA
01
—
180046317
RAILROAD MEDICARE
LA
Enumeration date
06/09/2005
Last updated
11/24/2025
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