MARK MIXAN

OMAHA, NE
NPI1093197204
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: NE  1461)
Additional Taxonomies152W00000X Optometrist
(Licence: IA  078291)
Enumeration Date2015-06-24
Last Update Date2022-12-16
Business Address
Dr. MARK MIXAN O.D.
12424 W DODGE RD STE 104
OMAHA, NE 68154-2322
Phone number: 531-233-5680
Mailing Address
Dr. MARK MIXAN O.D.
12424 W DODGE RD STE 104
OMAHA, NE 68154-2322
Phone number: 531-233-5680