NPI 1013072867

Wade Godshall, OD

Practitioner Optometrist Blue Springs, MO

Practice location

Address: 2248 SW State Route 7, Blue Springs, MO 64014-3957
Phone: (816) 228-1414
Fax: (816) 228-2376

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence T03377 (MO)

Other Optometrist providers in Missouri →

Registry record

NPI: 1013072867
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Dec 2006
Record last updated: 12 Feb 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.