Provider Demographics
NPI:1245246263
Name:THOMAS, WILLIAM JAMES (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:JAMES
Last Name:THOMAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:11606 NICHOLAS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4478
Mailing Address - Country:US
Mailing Address - Phone:402-493-3712
Mailing Address - Fax:402-493-8341
Practice Address - Street 1:11606 NICHOLAS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4478
Practice Address - Country:US
Practice Address - Phone:402-493-3712
Practice Address - Fax:402-493-8341
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE22901207W00000X
IA35727207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA37582OtherWELLMARK
NE47084218400Medicaid
NE04289OtherBLUE CROSS & BLUE SHIELD
NE244687OtherMIDLANDS CHOICE
IA0586289OtherIOWA MEDICAID
NEP00182839OtherRAILROAD MEDICARE
NE0800818OtherUNITED HEALTHCARE
IAI12596OtherIOWA MEDICARE
NE47084218400Medicaid
IA37582OtherWELLMARK
NE277975Medicare PIN