Active NPI
Mijangos Optometry Inc.
- Optometrist
- Sioux City, IA
National Provider Identifier
1689900292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2445
- Legal business name
- MIJANGOS OPTOMETRY INC.
- Practice address
- 3400 Singing Hills Blvd
Sioux City, IA 51106-5162 - Phone
- (712) 252-5493
- NPI assigned
- Nov 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sergio Gerardo Mijangos, O.D.
- Title
- Doctor of Optometry
- Phone
- (605) 422-1745
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2445 | IA | Primary |
Addresses
Primary practice location
3400 Singing Hills Blvd
Sioux City, IA 51106-5162
Mailing address
428 Bison TRL
Dakota Dunes, SD 57049-5295
Phone (605) 422-1745
National Provider Directory
National Provider DirectoryLocations
5001 Sergeant Rd
Ste 4
Sioux City, IA 51106
Phone (712) 224-4600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257120000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257120000000",
"number": "1689900292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "428 BISON TRL",
"city": "DAKOTA DUNES",
"state": "SD",
"postal_code": "570495295",
"telephone_number": "605-422-1745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 SINGING HILLS BLVD",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511065162",
"telephone_number": "712-252-5493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIJANGOS OPTOMETRY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-02",
"last_updated": "2009-11-02",
"status": "A",
"authorized_official_last_name": "MIJANGOS",
"authorized_official_first_name": "SERGIO",
"authorized_official_middle_name": "GERARDO",
"authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
"authorized_official_telephone_number": "605-422-1745",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IA",
"license": "2445",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.