Individual provider Active NPI

Douglas Byron Hixson, O D

  • Optometrist
  • Foley, AL
National Provider Identifier
1801939186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S324 TA428 Issued in AL
Practice address
815 N McKenzie St
B
Foley, AL 36535-3526
Phone
(251) 943-5115
Fax
(251) 943-5117
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S324 TA428 AL Primary

Addresses

Primary practice location

815 N McKenzie St
B
Foley, AL 36535-3526

Mailing address

815 N McKenzie St
B
Foley, AL 36535-3526
Phone (251) 943-5115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S324 TA428ALMDOptometrist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801939186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 N MCKENZIE ST",
            "address_2": "B",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353526",
            "telephone_number": "251-943-5115",
            "fax_number": "251-943-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 N MCKENZIE ST",
            "address_2": "B",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365353526",
            "telephone_number": "251-943-5115",
            "fax_number": "251-943-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIXSON",
        "first_name": "DOUGLAS",
        "middle_name": "BYRON",
        "name_prefix": "Dr.",
        "credential": "O D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S324 TA428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.