Edward Carl Godnig, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

212 Issued in AK

Practice address

285 E Parks Hwy Ste a
Wasilla, AK 99654-7039

Phone

(907) 376-3917

Fax

(907) 376-3967

NPI assigned

Jul 5, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK, MP2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

New England College of Optometry, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Guys LLCGroup PAC ID 6305210709, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eye Guys LLC

  • Optometrist
  • Wasilla, AK
  • NPI 1528503158
  Medicare reassignment Care Compare group NPD
• Marianas Eye Institute Inc

  • Ophthalmology Physician
  • Saipan, MP
  • NPI 1023168010

  Optometrist

  Medicare reassignment NPD
• Eye Guys

  dba The Eye Guys

  • Optometrist
  • Wasilla, AK
  • NPI 1053646570
  NPD (past) Authorized official

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1730186867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 E PARKS HWY STE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547039",
            "telephone_number": "907-376-3917",
            "fax_number": "907-376-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 E PARKS HWY STE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547039",
            "telephone_number": "907-376-3917",
            "fax_number": "907-376-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODNIG",
        "first_name": "EDWARD",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AK",
            "license": "212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OD4478",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joanne Noel Glaves
• Glysdicare LLC
• Dawn A Goble
• Jacob Godbey
• Daniel Lee Goddard
• Rodney Seth Godwin
• Theresa Godwin
• Jennifer Goetz, OTR/L
• Christi Mae Goff, RDMS, RVT
• Joseph Goff

• Optometrist in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Optometrist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.