Hixson, Thomas Mark
Hixson, Thomas Mark is an sole proprietor health care provider with primary practice located at 8007 La Mesa Blvd , La Mesa CA 91941-6434. He recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Low Vision Rehabilitation. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Hixson, Thomas Mark can be contacted via phone (619) 466-5665.Contact Information
Primary practice address
8007 La Mesa Blvd
La Mesa CA 91941-6434
Phone: (619) 466-5665
Fax: (619) 466-5688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7490T | California |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 7490T | California |
| Eye and Vision Services Providers / Low Vision Rehabilitation | 152WL0500X | 7490T | California |
Profile Details
| NPI number | 1528072683 |
|---|---|
| LBN Legal business name | Hixson, Thomas Mark |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2006 |
| Last updated | Jan 2nd, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528072683 | NPPES |
| California | MEDICAID | SD00749009 |
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