Provider Demographics
NPI:1174719678
Name:WILLIAM G RICHEY OD PC
Entity type:Organization
Organization Name:WILLIAM G RICHEY OD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:GLENN
Authorized Official - Last Name:RICHEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:281-208-5999
Mailing Address - Street 1:6701 HIGHWAY 6
Mailing Address - Street 2:140
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4370
Mailing Address - Country:US
Mailing Address - Phone:281-208-5999
Mailing Address - Fax:
Practice Address - Street 1:6701 HIGHWAY 6
Practice Address - Street 2:140
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4370
Practice Address - Country:US
Practice Address - Phone:281-208-5999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4936152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty