Sergio Gerardo Mijangos, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2445 Issued in IA

Practice address

5001 Sergeant Rd Ste 35
Mijangos Optometry Inc
Sioux City, IA 51106-4777

Phone

(712) 224-4600

Fax

(712) 274-5960

NPI assigned

Dec 4, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456704000000",
    "number": "1497990584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 BISON TRL",
            "address_2": "MIJANGOS OPTOMETRY INC",
            "city": "DAKOTA DUNES",
            "state": "SD",
            "postal_code": "570495295",
            "telephone_number": "712-574-9076",
            "fax_number": "712-274-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 SERGEANT RD STE 35",
            "address_2": "MIJANGOS OPTOMETRY INC",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064777",
            "telephone_number": "712-224-4600",
            "fax_number": "712-274-5960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJANGOS",
        "first_name": "SERGIO",
        "middle_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-12-04",
        "last_updated": "2016-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "2445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorayne Caroline Middendorp, OD
• Eileen M Middleton, PA
• Midwest Medical Transport Company, LLC-Sioux City, Ia.
• Doreen Miera
• Mijangos Optometry Inc.
• June Mikkelson, MA, LMHC
• Clifford Millard, PH.D.
• Melissa Ann Millard
• Cole Miller, DC
• Jennifer Ann Miller, PT

• Optometrist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.