Ronald C Mozingo, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

470 Issued in MS

Practice address

6096 US Hwy 98
Suite 1a
Hattiesburg, MS 39402

Phone

(601) 261-2467

Fax

(601) 296-6685

NPI assigned

Nov 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ronald Mozingo, OD, LLC

  • Optometrist
  • Hattiesburg, MS
  • NPI 1487915831
  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841363629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6096 US HWY 98",
            "address_2": "SUITE 1A",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-261-2467",
            "fax_number": "601-296-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6096 US HWY 98",
            "address_2": "SUITE 1A",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "39402",
            "telephone_number": "601-261-2467",
            "fax_number": "601-296-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZINGO",
        "first_name": "RONALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RR MEDICARE",
            "identifier": "P00037724",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087886",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanna Moses, CRNA
• T'Kylia Moss-Powe, PA-C
• Jason Fondren Moss, DO
• David Motanya, M.D
• Amber Mott, LMSW
• Ms Methodist Hospital & Rehabilitation Center
• Ms Pain & Migraine
• Mt. Olive Baptist Church
• Waqar Arshad Mughal, M.B.,B.S.
• Sourabh Mukherjee, MD

• Optometrist in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Optometrist in Mississippi

• 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.