Professional Provider Enterprise Llc - Medicare Optometrist in Omaha, NE

Professional Provider Enterprise Llc is a medicare enrolled "Optometrist" provider in Omaha, Nebraska. Their current practice location is 10826 Old Mill Rd Ste 101, Omaha, Nebraska. You can reach out to their office (for appointments etc.) via phone at (402) 898-3232.

Professional Provider Enterprise Llc is licensed to practice in Iowa (license number 01891) and it also participates in the medicare program. Professional Provider Enterprise Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1770852196.

Contact Information

Professional Provider Enterprise Llc
10826 Old Mill Rd Ste 101,
Omaha, NE 68154-2660
(402) 898-3232
(402) 898-3234

Map and Direction




Healthcare Provider's Profile

Full NameProfessional Provider Enterprise Llc
TypeFacility
SpecialityOptometrist
Location10826 Old Mill Rd Ste 101, Omaha, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1770852196
  • Provider Enumeration Date: 12/14/2011
  • Last Update Date: 05/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0840458667
  • Enrollment ID: O20120225000067

Medical Identifiers

Medical identifiers for Professional Provider Enterprise Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770852196NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist 01891 (Iowa)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Professional Provider Enterprise Llc acts as a billing entity for following providers:
Provider NameLyndon Graves
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1205886736
PECOS PAC ID: 7517879000
Enrollment ID: I20040331000640
Provider NameHeather Yvonne Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1013033075
PECOS PAC ID: 4082634183
Enrollment ID: I20101029000193
Provider NameLucas J Bell
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1154679561
PECOS PAC ID: 3678798410
Enrollment ID: I20140710001415
Provider NameBryan Kent Larson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1356724272
PECOS PAC ID: 5597065458
Enrollment ID: I20151125000100
Provider NameNorman Douglas Streifel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1275526444
PECOS PAC ID: 6204801517
Enrollment ID: I20180308000011
Provider NamePearl Shin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1093181158
PECOS PAC ID: 5294028304
Enrollment ID: I20200512001185
Provider NameCharles Vanaki
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770896201
PECOS PAC ID: 2264606441
Enrollment ID: I20220719001800

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Professional Provider Enterprise Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Professional Provider Enterprise Llc
10826 Old Mill Rd Ste 101,
Omaha, NE 68154-2660

Ph: (888) 840-3032
Professional Provider Enterprise Llc
10826 Old Mill Rd Ste 101,
Omaha, NE 68154-2660

Ph: (402) 898-3232

Reviews and Comments


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Phone: 402-492-9440    Fax: 402-492-9441
Frank E Graf, OD
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Phone: 402-559-2020    Fax: 402-559-5514

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.