Individual
DR. MARK MIXAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12424 W DODGE RD STE 104, OMAHA, NE 68154-2322
(531) 233-5680
(531) 215-0937
Mailing address
12424 W DODGE RD STE 104, OMAHA, NE 68154-2322
(531) 233-5680
(531) 215-0937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
078291
IA
152W00000X
Optometrist
Primary
1461
NE
Other
Enumeration date
06/24/2015
Last updated
12/16/2022
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