MEDICARE: LUKE TOMCZAK MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207W00000X	Ophthalmology Physician	36921	NE

General Provider Information

NPI Number	:	1447830716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUKE TOMCZAK MD

Provider Business Mailing Address
First Line	:	213 W 38TH ST
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23504-1206
Country	:	US
Telephone Number	:	810-965-5086
Fax Number	:

Provider Business Practice Location Address
First Line	:	3772 43RD AVE
Second Line	:
City	:	COLUMBUS
State	:	NE
Zip	:	68601-1681
Country	:	US
Telephone Number	:	402-563-3686
Fax Number	:	402-563-3084

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	05/07/2025

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Directions to “ LUKE TOMCZAK MD” Practice Location

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