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NPI Code Detail

MEDICARE: DR. RICHA GARG O.D.

MEDICARE:  DR. RICHA  GARG  O.D.
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
1152W00000XOptometrist046011122IL
2152W00000XOptometristOPC6726FL
3152W00000XOptometrist9590TGTX
4152W00000XOptometrist008079NY

General Provider Information

NPI Number : 1306273420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHA GARG O.D.
Provider Business Mailing Address
First Line : 5650 WORTH PKWY APT 5416
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78257-1536
Country : US
Telephone Number : 845-797-9950
Fax Number :
Provider Business Practice Location Address
First Line : 2003 CORTEZ RD W
Second Line :
City : BRADENTON
State : FL
Zip : 34207-1241
Country : US
Telephone Number : 941-756-2020
Fax Number : 941-756-4486
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2013
Last Update Date : 12/17/2025

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