Healthcare Provider Details

I. General information

NPI: 1427007780
Provider Name (Legal Business Name): THOMAS W HEJKAL MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2006
Last Update Date: 12/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8141 W CENTER RD SUITE 100
OMAHA NE
68124-3273
US

IV. Provider business mailing address

8141 W CENTER RD SUITE 100
OMAHA NE
68124-3273
US

V. Phone/Fax

Practice location:
  • Phone: 402-391-1100
  • Fax: 402-391-1233
Mailing address:
  • Phone: 402-391-1100
  • Fax: 402-391-1233

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number18525
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: