Individual
DR. JOHN A GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
804 BROAD RIPPLE AVE, INDIANAPOLIS, IN 46220-1961
(317) 254-6480
(317) 259-8609
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002016A
IN
Other
Enumeration date
12/28/2006
Last updated
06/12/2024
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