Organization · Type 2 NPI

Professional Provider Enterprise LLC

Optometrist · Omaha, NE

NPI number 1770852196 Active

Practice location

10826 Old Mill Rd Ste 101
Omaha, NE 68154-2660

Fax (402) 898-3234

Specialties and licenses

TaxonomyCodeLicense
Optometrist Primary 152W00000X01891 (IA)

Optometrist: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional e…

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About NPI 1770852196

Professional Provider Enterprise LLC's National Provider Identifier is 1770852196, issued on Dec 14, 2011. The primary taxonomy on file is Optometrist (152W00000X), and the practice location is in Omaha, NE. The record was last updated on Aug 22, 2025.