GODSHALL QUALITY EYECARE (NPI# 1639290505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639290505 |
| Entity Type | Organization |
| Organization Name | GODSHALL QUALITY EYECARE |
| Practice Address |
2248 Sw State Route 7 Blue Springs MO 64014 |
| Practice Telephone | 8162281414 |
| Practice Fax Number | 8162282376 |
| Mailing Telephone | 8162281414 |
| Mailing Fax Number | 8162282376 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2016-01-27 |
| Authorized Official Name | DR. WADE GODSHALL (OPTOMETRIST) |
| Authorized Official Telephone | 8162281414 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
557 | MO | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | T03377 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | BLUE CROSS BLUE SHIELD | 30156046 | 01 |
| Street Address |
2248 SW STATE ROUTE 7 |
| City | BLUE SPRINGS |
| State | MO |
| Zip Code | 64014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756319 | Ltaj Properties LLC | Physical Therapist | 514 Nw State 7 Hwy, Suite A, Blue Springs, MO 64014 | 2020-10-05 |
| 1790397198 | Miranda Bramble | Pharmacist | 1701 Nw Highway 7, Blue Springs, MO 64014 | 2020-08-18 |
| 1659915098 | Cheif Smiles LLC | Dentist | 620 E. Us Highway 40, Blue Springs, MO 64014 | 2019-10-29 |
| 1629637764 | Beau Devereux Butzirus | Dentist | 1125 South Mo-7, Blue Springs, MO 64014 | 2019-06-12 |
| 1245725605 | Brian Geraghty | Orthopaedic Surgery | 201 Nw R D Mize Road, Blue Springs, MO 64014 | 2018-06-28 |
| 1588101224 | Andy Anderson | Prevention Professional | 2705 Nw 3rd Ter, Blue Springs, MO 64014 | 2017-01-19 |
| 1801250469 | Louis Spear | Dentist | 1215 A Nw 7 Highway, Blue Springs, MO 64014 | 2016-04-11 |
| 1083027411 | Alex Sharifian Dds Blue Springs Dentistry PC | Dentist | 1205 Ne Coronado Drive, Blue Springs, MO 64014 | 2014-06-03 |
| 1730512336 | Valerie Fombon | Pharmacist | 625 W 40 Hwy, Blue Springs, MO 64014 | 2013-08-19 |
| 1356692750 | Central Jackson County Fire Protection District | Ambulance | 805 Ne Jefferson St, Blue Springs, MO 64014 | 2012-09-25 |
| Find all providers in zip 64014 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629602313 | National Vision Inc | Optometrist | 1332 Ne Coronado Dr, Blue Springs, MO 64014-2956 | 2020-03-03 |
| 1104970243 | Ronald J Fornelli | Optometrist | 3417 Nw Mill Dr, Blue Springs, MO 64015-3257 | 2007-01-23 |
| 1528006426 | Advanced Eyecare PC | Optometrist | 1116 Sw Us Highway 40, Blue Springs, MO 64015-4610 | 2006-06-03 |
| 1740230044 | Renae Sue Borden | Optometrist | 600 Ne Coronado Dr, Blue Springs, MO 64014 | 2006-05-10 |
| 1043203300 | Sharon Kay Dyer | Optometrist | 1613 S 7 Hwy, Discover Vision Centers, Blue Springs, MO 64015 | 2005-08-23 |
| 1407849789 | Todd D Hildreth | Optometrist | 1613 S 7 Highway, Discover Vision Centers, Blue Springs, MO 64015 | 2005-08-23 |
| 1679818389 | Bennett Eyecare Midwest, LLC | Optometrist | 3417 Nw Mill Dr, Blue Springs, MO 64015-3257 | 2012-12-06 |
| 1114282258 | Raymond John Lambert | Optometrist | 1613 S 7 Hwy, Blue Springs, MO 64014-3946 | 2012-07-04 |
| 1588864706 | Jessica Schmidt Kellerman | Optometrist | 900 W Main St, Blue Springs, MO 64015-3744 | 2007-07-25 |
| 1831219302 | Blue Springs Family Eye Care, Inc. | Optometrist | 900 W Main St, Blue Springs, MO 64015-3710 | 2007-03-30 |
| Find all providers in BLUE SPRINGS | ||||
| City | BLUE SPRINGS |
| Zip Code | 64014 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.