Active NPI
William R Schlichtemeier
- Ophthalmology Physician
- Omaha, NE
National Provider Identifier
1659360014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 14401
- Practice address
- 13923 Gold Cir
Omaha, NE 68144-2318 - Phone
- (402) 558-2211
- Fax
- (402) 558-3456
- NPI assigned
- Oct 18, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 14401 | NE | Primary |
Addresses
Primary practice location
13923 Gold Cir
Omaha, NE 68144-2318
Mailing address
13923 Gold Cir
Omaha, NE 68144-2318
Phone (402) 558-2211
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0904870 | Medicaid | IA | |
| 47069906200 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14401 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1659360014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13923 GOLD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442318",
"telephone_number": "402-558-2211",
"fax_number": "402-558-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13923 GOLD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442318",
"telephone_number": "402-558-2211",
"fax_number": "402-558-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHLICHTEMEIER",
"first_name": "WILLIAM",
"middle_name": "R",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NE",
"license": "14401",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0904870",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47069906200",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.