PROFESSIONAL PROVIDER COMPANY, LLC
NPI 1881920288
Optometrist in Omaha, NE

Q: What is Professional Provider Company, LLC's NPI number?

The NPI number for Professional Provider Company, LLC is 1881920288. It was assigned to this organization in the NPPES registry on October 20, 2009.

Q: What is Professional Provider Company, LLC's specialty?

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

Active since October 20, 2009

10826 OLD MILL RD STE 101, OMAHA, NE 68154(888) 840-3032(888) 840-8937 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Professional Provider Company, Llc NPPES

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

PROFESSIONAL PROVIDER COMPANY, LLC (NPI 1881920288) is a healthcare organization registered as an optometrist in Omaha, Nebraska and active in the NPI registry since October 2009. The organization maintains a secondary practice location in Omaha and lists Lyndon J Graves, Owner, as its authorized official.

NPPES Registry Identity

NPI1881920288

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePROFESSIONAL PROVIDER COMPANY, 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) 840-8937

Phone(888) 840-3032

Fax(888) 840-8937

Organization SubpartNo

Authorized OfficialLyndon J GravesOwner · (888) 840-3032

Enumeration DateOctober 20, 2009

Last NPPES UpdateMarch 17, 2018

✔ NPI 1881920288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

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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Secondary Practice Location 1

Location 110826 Old Mill Rd Ste 101Omaha, NE 68154-2660 · Phone (888) 840-3032 · Fax (888) 840-8937

Other Identifiers 1

Medicaid1881920288OR

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

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