Organization Active NPI

Mijangos Optometry Inc.

  • Optometrist
  • Sioux City, IA
National Provider Identifier
1689900292
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2445 Issued in IA
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

Updated by the provider on Nov 2, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.