Individual
DR. EDWARD CARL GODNIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
285 E PARKS HWY STE A, WASILLA, AK 99654-7039
(907) 376-3917
(907) 376-3967
Mailing address
285 E PARKS HWY STE A, WASILLA, AK 99654-7039
(907) 376-3917
(907) 376-3967
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
212
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD4478
—
AK
Enumeration date
07/05/2005
Last updated
07/29/2020
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