Randy W. Godwin I, DISPENSING OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1508 Issued in NC

Practice address

1233 N Brightleaf Blvd
Smithfield, NC 27577-4229

Phone

(919) 934-1272

Fax

(919) 934-1273

NPI assigned

Nov 23, 2015

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Vision World Opticians

  • Eyewear Supplier
  • Smithfield, NC
  • NPI 1871968933
  NPD (past) Authorized official

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448236800000",
    "number": "1962876367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774229",
            "telephone_number": "919-934-1272",
            "fax_number": "919-934-1273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 N BRIGHTLEAF BLVD",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275774229",
            "telephone_number": "919-934-1272",
            "fax_number": "919-934-1273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GODWIN",
        "first_name": "RANDY",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "DISPENSING OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NC",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-5024935",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anastasia Gibson
• Ajmal Masood Gilani, M.D.
• Veselin Stoyanov Gizdarski, M.D.
• Eric John Gloss, DO
• Kelly Godwin
• Daree Elaine Russell Goings, M.D.
• Nicole Brooks Goins, MS, OTR/L
• Jessica Goldberg
• Jose Manuel Gonzalez-Martinez, FNP-BC
• Sarah Ann Gonzalez, ACNP-BC, APRN

• Optician in Smithfield, NC
• Providers in Smithfield, NC by specialty
• Optician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.