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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
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