Individual provider Active NPI

Keel M Godwin, OD

  • Optometrist
  • Raleigh, NC
National Provider Identifier
1861441834
Registry record updated May 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1718 Issued in NC
Practice address
4109 Wake Forest Rd Ste 10
Raleigh, NC 27609-2510
Phone
(984) 213-8863
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1718 NC Primary

Addresses

Primary practice location

4109 Wake Forest Rd Ste 10
Raleigh, NC 27609-2510

Mailing address

4109 Wake Forest Rd Ste 10
Raleigh, NC 27609-2510
Phone (984) 213-8863

Other identifiers 1

IdentifierTypeStateIssuer
0922EOtherNCBCBS PIN

Other names 1

  • Dr. Rebecca Keel Morris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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

Enrollment IDStateProvider typePAC IDDetails
I20091221000219 NC Practitioner - Optometry 1052451283 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4109 Wake Forest Rd
Suite 10
Raleigh, NC 27609-2510
Phone (984) 213-8863

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Midtown Optometry PLLC Optometrist CurrentSince Jul 1, 2022 Accepting new patients
Eyecarecenter OD PA Optometrist Current Accepting new patients
Eyecarecenter OD PA Optometrist CurrentSince Sep 27, 2009 Accepting new patients
Eyecarecenter, O.D., P.a. Optometrist CurrentSince Sep 27, 2009 Accepting new patients

Locations

229 Crossroads Blvd
Cary, NC 27518
Phone (919) 233-8500

720 SE Maynard Rd
Cary, NC 27511
Phone (919) 467-0959

4109 Wake Forest Rd
Ste 10
Raleigh, NC 27609
Phone (984) 213-8863

119 E Hargett St
Raleigh, NC 27601
Phone (919) 856-8555

819 Tiffany Blvd
Rocky Mount, NC 27804
Phone (252) 972-2020

Interoperability endpoints

  • Direct secure messaging: kgodwin@direct.eyecare-partners.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1861441834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 WAKE FOREST RD STE 10",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276092510",
            "telephone_number": "984-213-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 WAKE FOREST RD STE 10",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276092510",
            "telephone_number": "984-213-8863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "KEEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PIN",
            "identifier": "0922E",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MORRIS",
            "middle_name": "KEEL",
            "prefix": "DR.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.