Janna L Mixan, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1455 Issued in NE

Practice address

12424 W Dodge Rd
Omaha, NE 68154-2322

Phone

(531) 233-5680

Fax

(531) 215-0937

NPI assigned

Jun 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NE, MN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Southern College of Optometry, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dakota Optometric Eye Care Associates, P.a.Group PAC ID 0749381218, 5 clinicians

Roseville Eye Associates P.a.Group PAC ID 6507109642, 2 clinicians

MJH LLCGroup PAC ID 9032472139, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dakota Optometric Eye Care Associates, P.a.

  • Optometrist
  • Saint Paul, MN
  • NPI 1598773780
  Medicare reassignment Care Compare group NPD
• Roseville Eye Associates P.a.

  • Clinic/Center
  • St Louis Park, MN
  • NPI 1134682669
  Medicare reassignment Care Compare group NPD
• MJH LLC

  • Optometrist
  • Stillwater, MN
  • NPI 1558723411
  Medicare reassignment Care Compare group
• First Eye Associates PC

  • Ophthalmology Physician
  • Omaha, NE
  • NPI 1174538185
  Medicare reassignment NPD
• Mixan Eyecare, Inc.

  • Optometrist
  • Omaha, NE
  • NPI 1184156069
  Medicare reassignment NPD

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1770965659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 W CENTENNIAL RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680467017",
            "telephone_number": "531-233-5680",
            "fax_number": "531-215-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12424 W DODGE RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542322",
            "telephone_number": "531-233-5680",
            "fax_number": "531-215-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIXAN",
        "first_name": "JANNA",
        "middle_name": "L",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "078273",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NE",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelyna Mitchem
• Egnonche Mitchozounnou
• Holly Mitzel, MD
• Mixan Eyecare, Inc.
• Gabriella Mixan
• Kristy Lynn Mixan
• Mark Mixan, O.D.
• Nicole Marie Mixan, APRN
• Cecilia Miyares
• Atsuhito Miyazaki

• Optometrist in Omaha, NE
• Providers in Omaha, NE by specialty
• Optometrist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.