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

Kasie Jean Mix, OD, MS

Individual provider Corneal and Contact Management Optometrist · NPI 1407109275

Kasie Jean Mix, OD, MS is an Optometry in Shakopee, Minnesota. Graduated from Pacific University - College of Optometry in 2015, 11 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
11
Trained at
Pacific University - College of Optometry
Licensed in
MN
In the registry since
2012
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.
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1455 Saint Francis Ave
Shakopee, MN 55379-3374
Phone: (952) 993-3150
Fax: (952) 993-7835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9801 Dupont Ave S, Bloomington, MN 55431-3100 — (952) 888-5800

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3429 (MN)
Corneal and Contact Management Optometrist Taxonomy 152WC0802X · Licence 3429 (MN)

Record details

NPI number1407109275
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD , MS
Sole proprietorYes
NPI enumeratedOctober 18, 2012
Last updated in NPPESJuly 18, 2023
Certification dateJuly 18, 2023

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2015 (11 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare