Paul Martin Godich

Primary specialty

OptometristTaxonomy code 152W00000X

License

1297 Issued in WI

Practice address

3670 S 108TH St
Ste 204
Greenfield, WI 53228-1237

Phone

(414) 453-1010

Fax

(414) 425-4230

NPI assigned

Dec 16, 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 WI

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 1

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 and National Provider Directory roles.

• The Eye Group SC

  • Optometrist
  • Waukesha, WI
  • NPI 1659332823
  Medicare reassignment NPD
• Meadowbrook Eyecare

  • Optometrist
  • Waukesha, WI
  • NPI 1205607025
  NPD

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1831175371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 S 108TH ST",
            "address_2": "STE 204",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281237",
            "telephone_number": "414-453-1010",
            "fax_number": "414-425-4230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 S 108TH ST",
            "address_2": "STE 204",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532281237",
            "telephone_number": "414-453-1010",
            "fax_number": "414-425-4230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODICH",
        "first_name": "PAUL",
        "middle_name": "MARTIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "1297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38501000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael F Girolami, M.D.
• Deanna M Giudice, M.S., SLP-CFY
• Susan Glad
• Amanda L Glorioso, RN BSN
• Thomas Louis Goddard, D.D.S.
• Emily Goebert
• Robert John Goeckermann, DDS
• Drew J Goede, PT
• Rachael Goldmann, PSYD
• Jon Jay Golembiewski, RPH

• Optometrist in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.