NPI 1407109275

Kasie Jean Mix, ODMS

Practitioner Optometrist Shakopee, MN

Practice location

Address: 1455 Saint Francis Ave, Shakopee, MN 55379-3374
Phone: (952) 993-3150
Fax: (952) 993-7835
Mailing address: 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 3429 (MN)

Other Optometrist providers in Minnesota →

Corneal and Contact Management Optometrist

Eye and Vision Services Providers Taxonomy 152WC0802X Licence 3429 (MN)

Registry record

NPI: 1407109275
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Oct 2012
Record last updated: 18 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.