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PROFESSIONAL PROVIDER ENTERPRISE LLC
NPI 1770852196
Optometrist in Omaha, NE

Active since December 14, 2011
10826 OLD MILL RD STE 101, OMAHA, NE 68154(402) 898-3232(402) 898-3234 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Professional Provider Enterprise Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL PROVIDER ENTERPRISE LLC (NPI 1770852196) is a healthcare organization registered as an optometrist in Omaha, Nebraska and active in the NPI registry since December 2011. The organization lists John Rosenbaum, Cco, as its authorized official.

NPPES Registry Identity

NPI1770852196
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePROFESSIONAL PROVIDER ENTERPRISE LLC
Location Address10826 OLD MILL RD STE 101Omaha, NE 68154-2660
Mailing Address10826 Old Mill Rd Ste 101Omaha, NE 68154-2660 · (888) 840-3032 · Fax (888) 270-3811
Phone(402) 898-3232
Fax(402) 898-3234
Organization SubpartNo
Authorized OfficialJohn RosenbaumCco · (913) 647-7926
Enumeration DateDecember 14, 2011
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1770852196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in IA · 01891
Definition
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 education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
10826 OLD MILL RD STE 101, Omaha, NE 68154
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIA EYE CARE, LLC
Optometrist
10826 OLD MILL RD STE 101
OMAHA, NE 68154
Douglas County (402) 268-0685
DOUG STREIFEL LLC
Optometrist
10826 OLD MILL RD STE 101
OMAHA, NE 68154
Douglas County (888) 840-3032
SENIOR VISION SERVICES LLC
Optometrist
10826 OLD MILL RD STE 101
OMAHA, NE 68154
Douglas County (402) 898-3232
WAKAN VISION INC
Optometrist
10826 OLD MILL RD STE 101
OMAHA, NE 68154
Douglas County (402) 898-3232
PROFESSIONAL PROVIDER COMPANY, LLC
Optometrist
10826 OLD MILL RD STE 101
OMAHA, NE 68154
Douglas County (888) 840-3032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Provider Enterprise LLC's NPI number?

The NPI number for Professional Provider Enterprise LLC is 1770852196. It was assigned to this organization in the NPPES registry on December 14, 2011.

Where is Professional Provider Enterprise LLC located?

Professional Provider Enterprise LLC is located at 10826 Old Mill Rd Ste 101, Omaha, NE 68154. The listed phone number is (402) 898-3232.

What is Professional Provider Enterprise LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Professional Provider Enterprise LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 6 other insurers list Professional Provider Enterprise LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Professional Provider Enterprise LLC was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.