Provider Demographics
NPI:1962213710
Name:OMAHA EYE & LASER INSTITUTE, INC.
Entity type:Organization
Organization Name:OMAHA EYE & LASER INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROSENGREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-898-3818
Mailing Address - Street 1:11606 NICHOLAS ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4478
Mailing Address - Country:US
Mailing Address - Phone:402-493-2020
Mailing Address - Fax:402-493-8987
Practice Address - Street 1:1633 NORMANDY CT
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-1473
Practice Address - Country:US
Practice Address - Phone:402-493-2020
Practice Address - Fax:402-493-8987
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OMAHA EYE & LASER INSTITUTE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-20
Last Update Date:2025-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty