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Professional Provider Company, LLC

Optometrist in Omaha, NE · enumerated 2009 · authorized official Lyndon Graves, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1881920288

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Provider Company, LLC
Practice address 10826 Old Mill Rd Ste 101, Omaha, NE, 68154
Phone (888) 840-3032
Fax (888) 840-8937
Enumeration date Oct 20, 2009
Last updated in NPPES Mar 17, 2018

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Primary

Authorized official

Name Lyndon Graves
Title Owner
Phone (888) 840-3032

Other identifiers

Identifier Type State Issuer
1881920288 Medicaid OR -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Professional Provider Company, LLC?
The NPI for Professional Provider Company, LLC is 1881920288, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Professional Provider Company, LLC?
NPPES lists Lyndon Graves (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-03-17.