Healthcare Provider Details

I. General information

NPI: 1548342587
Provider Name (Legal Business Name): POSNER ENTERPRISES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 CAPITOL BEACH BLVD SUITE 11
LINCOLN NE
68528-1600
US

IV. Provider business mailing address

201 CAPITOL BEACH BLVD SUITE 11
LINCOLN NE
68528-1600
US

V. Phone/Fax

Practice location:
  • Phone: 402-475-3937
  • Fax: 402-475-4715
Mailing address:
  • Phone: 402-475-3937
  • Fax: 402-475-4715

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number1147
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License NumberNA
License Number StateNE

VIII. Authorized Official

Name: MR. DONALD DEAN POSNER
Title or Position: PRESIDENT
Credential:
Phone: 402-423-5367