Organization Active NPI

William J. Smith MD, PC

  • Ophthalmology Physician
  • Lincoln, NE
National Provider Identifier
1437451242
Registry record updated Nov 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
11802 Issued in NE
Legal business name
WILLIAM J. SMITH MD, PC
Practice address
1650 South 70TH Street
Suite 200
Lincoln, NE 68506-1569
Phone
(402) 483-4466
Fax
(402) 483-4467
NPI assigned
Nov 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. William J. Smith, M.D., P.C.NPI 1477624740
Title
Doctor
Phone
(402) 483-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 11802 NE Primary

Addresses

Primary practice location

1650 South 70TH Street
Suite 200
Lincoln, NE 68506-1569

Mailing address

1650 South 70TH Street
Suite 200
Lincoln, NE 68506-1569
Phone (402) 483-4466

Other identifiers 1

IdentifierTypeStateIssuer
1722OtherNEBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1650 S 70th St
Ste 200
Lincoln, NE 68506
Phone (402) 261-6764

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1437451242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 SOUTH 70TH STREET",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061569",
            "telephone_number": "402-483-4466",
            "fax_number": "402-483-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SOUTH 70TH STREET",
            "address_2": "SUITE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061569",
            "telephone_number": "402-483-4466",
            "fax_number": "402-483-4467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J. SMITH MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-30",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "402-483-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "11802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1722",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.