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

Jacob Ethen, OD

Individual provider Optometrist · NPI 1083307979

Jacob Ethen, OD is an Optometrist in Papillion, Nebraska. Practices as a sole proprietor. Licensed in Nebraska.

Licensed in
NE
In the registry since
2023
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

718 N Washington St
Papillion, NE 68046-3910
Phone: (402) 339-5717
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1620 (NE)

Record details

NPI number1083307979
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 29, 2023
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023
Mailing address718 N Washington St, Papillion, NE 68046-3910

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