Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Mixan, OD

Individual provider Optometrist · NPI 1093197204

Dr. Mark Mixan, OD is an Optometry in Omaha, Nebraska. Graduated from Southern College of Optometry in 2015, 11 years ago. Practices with Shoptikal LLC, a 192-clinician group and accepts Medicare assignment. Licensed in Iowa and Nebraska.

Years since qualifying
11
Trained at
Southern College of Optometry
Licensed in
IA, NE
In the registry since
2015
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

12424 W Dodge Rd Ste 104
Omaha, NE 68154-2322
Phone: (531) 233-5680
Fax: (531) 215-0937
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1461 (NE)
Optometrist Taxonomy 152W00000X · Licence 078291 (IA)

Record details

NPI number1093197204
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedJune 24, 2015
Last updated in NPPESDecember 16, 2022
Certification dateDecember 16, 2022
Mailing address12424 W Dodge Rd Ste 104, Omaha, NE 68154-2322

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolSOUTHERN COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Group practice Shoptikal Llc — 192 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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