Individual
DR. WILLIAM JAMES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 S 70TH ST, SUITE 200, LINCOLN, NE 68506-1569
(402) 483-4466
(402) 483-4467
Mailing address
1650 S 70TH ST, SUITE 200, LINCOLN, NE 68506-1569
(402) 483-4466
(402) 483-4467
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
11802
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1722
BLUE CROSS BLUE SHIELD
NE
01
—
470618295
FEDERAL ID NUMBER
NE
05
—
47061829500
—
NE
Enumeration date
11/10/2006
Last updated
07/08/2007
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