Individual
THOMAS A GRAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1710 S 70TH ST, LINCOLN, NE 68506-1676
(402) 484-9000
(402) 483-4223
Mailing address
PO BOX 6068, LINCOLN, NE 68506-0068
(402) 484-9000
(402) 483-4223
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
0433241
KS
207W00000X
Ophthalmology Physician
Primary
21380
NE
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
0433241
KS
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
21380
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-33241
MEDICAL LICENSE
KS
05
—
10025619700
—
NE
01
—
180039225
RAILROAD MEDICARE
NE
05
—
200573060A
—
KS
01
—
21380
MEDICAL LICENSE
NE
01
—
P01028175
RAILROAD MEDICARE
KS
Enumeration date
07/07/2005
Last updated
09/01/2020
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