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

Professional Provider Enterprise LLC

Organization Optometrist · NPI 1770852196

Professional Provider Enterprise LLC is an Optometrist in Omaha, Nebraska. Licensed in Iowa. Registered with an NPI since 2011.

Licensed in
IA
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10826 Old Mill Rd Ste 101
Omaha, NE 68154-2660
Phone: (402) 898-3232
Fax: (402) 898-3234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 01891 (IA)

Record details

NPI number1770852196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Rosenbaum — Cco · (913) 647-7926
NPI enumeratedDecember 14, 2011
Last updated in NPPESAugust 22, 2025
Certification dateAugust 22, 2025
Mailing address10826 Old Mill Rd Ste 101, Omaha, NE 68154-2660

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