Active NPI
Wade Godshall, OD
- Optometrist
- Blue Springs, MO
National Provider Identifier
1013072867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T03377
- Practice address
- 2248 SW State Route 7
Blue Springs, MO 64014-3957 - Phone
- (816) 228-1414
- Fax
- (816) 228-2376
- NPI assigned
- Dec 22, 2006
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | T03377 | MO | Primary |
Addresses
Primary practice location
2248 SW State Route 7
Blue Springs, MO 64014-3957
Mailing address
2248 SW State Route 7
Blue Springs, MO 64014-3957
Phone (816) 228-1414
Other practice location 1
1008 Independence Center Drive
Independence, MO 64057
Phone (816) 795-0011
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecare Centers of America | Optometrist | Past | Accepting new patients |
| Visionworks, Inc. | Optometrist | Past | Accepting new patients |
| Godshall Quality Eyecare | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Blue Springs, MO
- NPI 1639290505
-
- Optometrist
- Independence, MO
- NPI 1649203308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1013072867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2248 SW STATE ROUTE 7",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640143957",
"telephone_number": "816-228-1414",
"fax_number": "816-228-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2248 SW STATE ROUTE 7",
"city": "BLUE SPRINGS",
"state": "MO",
"postal_code": "640143957",
"telephone_number": "816-228-1414",
"fax_number": "816-228-2376"
}
],
"practiceLocations": [
{
"address_1": "1008 Independence Center Drive",
"address_purpose": "LOCATION",
"city": "Independence",
"state": "MO",
"postal_code": "64057",
"country_code": "US",
"telephone_number": "816-795-0011",
"fax_number": "816-795-8267",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GODSHALL",
"first_name": "WADE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-22",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T03377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Springs, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.