Stephen a. Godlewski MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

16512 Issued in GA

Legal business name

STEPHEN A. GODLEWSKI MD PC

Practice address

2085 McGee Rd
Snellville, GA 30078-2910

Phone

(770) 979-1144

Fax

(770) 736-1480

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Stephen A Godlewski, M.D.

Title

Owner

Phone

(770) 979-1144

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1194944371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2085 MCGEE RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782910",
            "telephone_number": "770-979-1144",
            "fax_number": "770-736-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 MCGEE RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782910",
            "telephone_number": "770-979-1144",
            "fax_number": "770-736-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A. GODLEWSKI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "GODLEWSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-979-1144",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "GA",
            "license": "16512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Ophthalmology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.