Mixon, Ron Dwaine
Mixon, Ron Dwaine is an sole proprietor health care provider with primary practice located at 2151 W Oaklawn Rd , Pleasanton TX 78064-4604. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Mixon, Ron Dwaine can be contacted via phone (830) 569-3334.Contact Information
Primary practice address
2151 W Oaklawn Rd
Pleasanton TX 78064-4604
Phone: (830) 569-3334
Fax: (830) 281-3926
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 5812TG | Texas |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5812TG | Texas |
Profile Details
| NPI number | 1407806920 |
|---|---|
| LBN Legal business name | Mixon, Ron Dwaine |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 12th, 2006 |
| Last updated | Mar 29th, 2023 - about last year |
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 | 1407806920 | NPPES |
| Texas | MEDICAID | 019148801 |
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