Individual
WADE GODSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2248 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014-3957
(816) 228-1414
(816) 228-2376
Mailing address
2248 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014-3957
(816) 228-1414
(816) 228-2376
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03377
MO
Other
Enumeration date
12/22/2006
Last updated
02/12/2021
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