Mizener, Martin W

Mizener, Martin W is an individual health care provider with primary practice located at 4353 Dodge St , Omaha NE 68131-2709. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Glaucoma Specialist. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Mizener, Martin W can be contacted via phone (402) 552-2020.

Contact Information

Primary practice address
4353 Dodge St Omaha NE 68131-2709
Phone: (402) 552-2020
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 29056 Iowa
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 20146 Nebraska
Allopathic & Osteopathic Physicians / Glaucoma Specialist 207WX0009X 29056 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 20146 Nebraska

Profile Details

NPI number 1316929383
LBN Legal business name Mizener, Martin W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Sep 10th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316929383 NPPES
Nebraska MEDICAID 47080542812

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