Organization
GODSHALL QUALITY EYECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE GODSHALL O.D. (OPTOMETRIST)
(816) 228-1414
Entity
Organization
Contact information
Practice address
2248 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014
(816) 228-1414
(816) 228-2376
Mailing address
2248 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014
(816) 228-1414
(816) 228-2376
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T03377
MO
156FX1800X
Optician
557
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30156046
BLUE CROSS BLUE SHIELD
MO
Enumeration date
04/02/2007
Last updated
01/27/2016
Update your record
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