Godshall Quality Eyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

T03377 Issued in MO

Legal business name

GODSHALL QUALITY EYECARE

Practice address

2248 SW State Route 7
Blue Springs, MO 64014

Phone

(816) 228-1414

Fax

(816) 228-2376

NPI assigned

Apr 2, 2007

Last updated

Jan 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wade Godshall, O.D.NPI 1013072867

Title

Optometrist

Phone

(816) 228-1414

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wade Godshall, OD

  • Optometrist
  • Blue Springs, MO
  • NPI 1013072867
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1639290505",
    "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": "64014",
            "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": "64014",
            "telephone_number": "816-228-1414",
            "fax_number": "816-228-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GODSHALL QUALITY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "GODSHALL",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "816-228-1414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T03377",
            "primary": true
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MO",
            "license": "557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "30156046",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Gieseke, BSN, BSBA, RN, CCRN
• Cayce Gilbert
• Paige Regina Gilbert
• Leigh Gilburn, D.O.
• Jeffrey P Girkin, MD
• Wade Godshall, OD
• Aston Michael Goldsworthy, D.C.
• Patrick Lynn Goldsworthy, D.C.
• Levi B Gonzalez, DC
• Leon F Gooden, CRNA

• Optometrist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Optometrist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.