| Brent L. Mixon, Od, Llc | |
|
1713 E Mulberry St, Angleton, TX 77515-3916 | |
| (979) 849-7321 | |
| (979) 849-7321 |
| Full Name | Brent L. Mixon, Od, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1713 E Mulberry St, Angleton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790953107 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 6944TG (Texas) | Primary |
| Provider Name | Brent L Mixon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1841209921 PECOS PAC ID: 6305947672 Enrollment ID: I20070731000328 |
| Mailing Address | Practice Location Address |
|---|---|
| Brent L. Mixon, Od, Llc 1713 E Mulberry St, Angleton, TX 77515-3916 Ph: (979) 849-7321 | Brent L. Mixon, Od, Llc 1713 E Mulberry St, Angleton, TX 77515-3916 Ph: (979) 849-7321 |
Mrs. Teresa Peck, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1713 E Highway 35, Angleton, TX 77515 Phone: 979-849-7321 | |
James F Citek, O D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1818 N Velasco St, Angleton, TX 77515 Phone: 979-849-2331 Fax: 979-849-7520 | |
James Citek Od Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1818 N Velasco St, Angleton, TX 77515 Phone: 979-849-2331 Fax: 979-849-7520 | |
Quynh Hoa Ngoc Le, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 146 E Hospital Dr, Suite 210, Angleton, TX 77515 Phone: 979-849-8516 Fax: 979-848-2116 | |
Dr. Brent Lee Mixon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1713 E Mulberry St, Angleton, TX 77515 Phone: 979-849-7321 Fax: 979-849-7321 |