Provider Demographics
NPI:1427007780
Name:HEJKAL, THOMAS W (MD, PHD)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:W
Last Name:HEJKAL
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8141 W CENTER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68124-3273
Mailing Address - Country:US
Mailing Address - Phone:402-391-1100
Mailing Address - Fax:402-391-1233
Practice Address - Street 1:8141 W CENTER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68124-3273
Practice Address - Country:US
Practice Address - Phone:402-391-1100
Practice Address - Fax:402-391-1233
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2013-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE18525207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE91174901813Medicaid
NE91174901813Medicaid