Provider Demographics
NPI:1376518480
Name:RIEGLER, ROBERT F (OD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:RIEGLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:15504 INTERLACHEN DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78717-3870
Mailing Address - Country:US
Mailing Address - Phone:512-303-2861
Mailing Address - Fax:512-412-6091
Practice Address - Street 1:488 HIGHWAY 71 W
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:TX
Practice Address - Zip Code:78602-3731
Practice Address - Country:US
Practice Address - Phone:512-303-2861
Practice Address - Fax:512-412-6091
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX04540T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX335558ZVHXMedicare PIN
TXU28701Medicare UPIN