Individual provider Active NPI

Samuel Thomsen, MD

  • Ophthalmology Physician
  • Lincoln, NE
National Provider Identifier
1952788481
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
32238 Issued in NE
Practice address
1710 S 70TH St
Lincoln, NE 68506-1676
Phone
(402) 484-9000
NPI assigned
May 5, 2015
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 34587 OK
Cornea and External Diseases Specialist Physician 207WX0120X 32238 NE
Ophthalmology Physician 207W00000X 32238 NE Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1710 S 70TH St
Lincoln, NE 68506-1676

Mailing address

1710 S 70TH St
Lincoln, NE 68506-1676
Phone (402) 484-9000

Other practice location 1

Mason Eye Insitute One Hospital Drive
Columbia, MO 65212-5318
Phone (402) 419-1017

Other practice location 2

608 Stanton L Young Blvd # 509
Oklahoma City, OK 73104-5014
Phone (405) 271-7816

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sthomsen@esane.intellechartdirect.net Eye Surgical Associates, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200610002622 NE Practitioner - Ophthalmology 1052626082 Reassigns benefits to 1 organization
I20200805000129 KS Practitioner - Ophthalmology 1052626082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Nebraska College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgical Associates LLCGroup PAC ID 4082695721, 11 clinicians

Practice addresses (Care Compare)

1600 Community Dr
Seneca, KS 66538-9739
Phone (402) 484-9000

1600 N 48TH St
Lincoln, NE 68506-1283
Phone (402) 484-9000

1610 S 70TH St
Lincoln, NE 68506-1565

1710 S 70TH St
Lincoln, NE 68506-1676
Phone (440) 248-4900

1900 F St
Geneva, NE 68361-2229
Phone (402) 484-9000

2005 Court St
Beatrice, NE 68310-3210
Phone (402) 484-9000

2200 H St
Fairbury, NE 68352-1119
Phone (402) 484-9000

2300 S 16TH St
Lincoln, NE 68502-3704
Phone (402) 484-9000

4800 Hospital Pkwy
Beatrice, NE 68310-6906
Phone (402) 484-9000

521 E St
Fairbury, NE 68352-2323
Phone (402) 484-9000

555 S 70TH St
Lincoln, NE 68510-2462
Phone (402) 484-9000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Valley Behavioral Health Inc Past Accepting new patients
Sutton Skin and Eye Clinic PC PastSince Jul 24, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sthomsen@esane.intellechartdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1952788481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061676",
            "telephone_number": "402-484-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 S 70TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061676",
            "telephone_number": "402-484-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Mason Eye Insitute One Hospital Drive",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652125318",
            "country_code": "US",
            "telephone_number": "402-419-1017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "608 Stanton L Young Blvd # 509",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731045014",
            "country_code": "US",
            "telephone_number": "405-271-7816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMSEN",
        "first_name": "SAMUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OK",
            "license": "34587",
            "primary": false
        },
        {
            "code": "207WX0120X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Cornea and External Diseases Specialist",
            "state": "NE",
            "license": "32238",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NE",
            "license": "32238",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sthomsen@esane.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Eye Surgical Associates, LLC",
            "address_1": "1710 S 70th St",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685061676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.