Provider Demographics
NPI:1497990584
Name:MIJANGOS, SERGIO GERARDO (OD)
Entity Type:Individual
Prefix:DR
First Name:SERGIO
Middle Name:GERARDO
Last Name:MIJANGOS
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Gender:M
Credentials:OD
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Mailing Address - Street 1:428 BISON TRL
Mailing Address - Street 2:MIJANGOS OPTOMETRY INC
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5295
Mailing Address - Country:US
Mailing Address - Phone:712-574-9076
Mailing Address - Fax:712-274-5960
Practice Address - Street 1:5001 SERGEANT RD STE 35
Practice Address - Street 2:MIJANGOS OPTOMETRY INC
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51106-4777
Practice Address - Country:US
Practice Address - Phone:712-224-4600
Practice Address - Fax:712-274-5960
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-04
Last Update Date:2016-02-29
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Provider Licenses
StateLicense IDTaxonomies
IA2445152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist