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Individual
MR. THOMAS MARK HIXSON
Active
Individual
MR. THOMAS MARK HIXSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7490T
CA
152WC0802X
Corneal and Contact Management Optometrist
7490T
CA
152WL0500X
Low Vision Rehabilitation Optometrist
7490T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD00749009
—
CA
Enumeration date
07/27/2006
Last updated
01/02/2009
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