Healthcare Provider Details

I. General information

NPI: 1225955248
Provider Name (Legal Business Name): JUSTISE ELVIRA PROPP OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

570 FALLBROOK BLVD STE 108
LINCOLN NE
68521-9025
US

IV. Provider business mailing address

570 FALLBROOK BLVD STE 108
LINCOLN NE
68521-9025
US

V. Phone/Fax

Practice location:
  • Phone: 402-742-0399
  • Fax:
Mailing address:
  • Phone: 402-742-0399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1697
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: