Provider Demographics
NPI:1538158555
Name:CORNEA ASSOCIATES P.C.
Entity type:Organization
Organization Name:CORNEA ASSOCIATES P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAMI
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCHLICHTEMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-558-2211
Mailing Address - Street 1:13923 GOLD CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68144-2318
Mailing Address - Country:US
Mailing Address - Phone:402-558-2211
Mailing Address - Fax:402-558-3456
Practice Address - Street 1:13923 GOLD CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68144-2318
Practice Address - Country:US
Practice Address - Phone:402-558-2211
Practice Address - Fax:402-558-3456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0904870Medicaid
NE=========00Medicaid
NEE07847Medicare UPIN
IA06864Medicare ID - Type Unspecified
NE095144Medicare ID - Type Unspecified