Organization
MIXAN EYECARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MIXAN OD (PRESIDENT)
(641) 373-1951
Entity
Organization
Contact information
Practice address
12424 W DODGE RD STE 104, OMAHA, NE 68154-2322
(531) 233-5680
(531) 215-0937
Mailing address
805 W CENTENNIAL RD, PAPILLION, NE 68046-7017
(531) 233-5680
(531) 215-0937
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1455
NE
Other
Enumeration date
03/30/2017
Last updated
12/21/2022
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