MEDICARE: DR. ALAN B RICHARDS MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	05012R	LA
2	207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician	MD.05012R	LA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	180046317	OTHER	LA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1053315846	OTHER	LA	GROUP NPI NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992709745
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN B RICHARDS MD

Provider Business Mailing Address
First Line	:	112 WATERS EDGE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-7774
Country	:	US
Telephone Number	:	318-455-5569
Fax Number	:

Provider Business Practice Location Address
First Line	:	112 WATERS EDGE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71106-7774
Country	:	US
Telephone Number	:	318-455-5569
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	11/24/2025

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Directions to “ DR. ALAN B RICHARDS MD” Practice Location

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