Provider Demographics
NPI:1851381735
Name:RIGSBY, RICHARD R (OD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:R
Last Name:RIGSBY
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15126 SAN PEDRO
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-3716
Mailing Address - Country:US
Mailing Address - Phone:210-494-7687
Mailing Address - Fax:210-798-0949
Practice Address - Street 1:15126 SAN PEDRO
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-3716
Practice Address - Country:US
Practice Address - Phone:210-494-7687
Practice Address - Fax:210-798-0949
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2537TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1124265-02Medicaid
TXMR0364620OtherDEA
TXW27930Medicare UPIN
TXTXB124379Medicare PIN
TXMR0364620OtherDEA