Provider Demographics
NPI:1184777401
Name:ALANIZ, RICKY V (OD)
Entity type:Individual
Prefix:DR
First Name:RICKY
Middle Name:V
Last Name:ALANIZ
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 1:305 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:CARRIZO SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78834-3105
Mailing Address - Country:US
Mailing Address - Phone:830-876-0282
Mailing Address - Fax:830-876-4191
Practice Address - Street 1:1203 PENA ST
Practice Address - Street 2:
Practice Address - City:CARRIZO SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78834-3765
Practice Address - Country:US
Practice Address - Phone:830-876-0282
Practice Address - Fax:830-876-4191
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2022-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5765TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX019160301Medicaid
TXU79351Medicare UPIN