WADE GODSHALL (NPI# 1013072867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013072867 |
| Entity Type | Individual |
| Full Name | WADE GODSHALL |
| Credential | OD |
| Practice Address |
1008 Independence Center Drive Independence MO 64057 |
| Mailing Address |
11103 West Ave Suite 6 San Antonio TX 78213-1370 |
| Practice Telephone | 8167950011 |
| Practice Fax Number | 8167958267 |
| Mailing Telephone | 2105246663 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T03377 | MO | Eye and Vision Services Providers |
| Street Address |
1008 INDEPENDENCE CENTER DRIVE |
| City | INDEPENDENCE |
| State | MO |
| Zip Code | 64057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003971946 | Elizabeth Crowley | Optometrist | 1008 Independence Center Drive, Independence, MO 64057 | 2006-12-22 |
| 1609931252 | Carey Nguyen | Optometrist | 1008 Independence Center Drive, Independence, MO 64057 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174002364 | Justine Barye Bolton | Physical Therapist | 2301 South 291 Highway, Independence, MO 64057 | 2018-08-09 |
| 1194230136 | Brantley Vincent Niendick | Occupational Therapist | 2301 S M 291 Hwy, Independence, MO 64057 | 2017-12-13 |
| 1437693561 | Derek Faulkner | Counselor | 2400 Little Blue Pkwy, Independence, MO 64057 | 2016-12-08 |
| 1578916136 | Jared Donald Gerstenkorn | Physical Therapist | 2301 South Highway 291, Independence, MO 64057 | 2016-07-19 |
| 1295198182 | Jennifer J Allen | Nurse Practitioner | 2310 Castle Drive, Independence, MO 64057 | 2016-03-30 |
| 1750750808 | Lisa Louise Freeman | Physical Therapy Assistant | 3980 S Jackson Dr, Independence, MO 64057 | 2015-09-18 |
| 1437543592 | Harold Epps | Specialist/Technologist | 2301 South Mo 291 Highway, Independence, MO 64057 | 2015-03-26 |
| 1245620426 | Holly Morgan | Occupational Therapist | 3980 S Jackson Dr., Independence, MO 64057 | 2015-01-27 |
| 1093128159 | Jennifer Falk Crumbaugh | Dentist | 3151 S. M-291 Highway, Suite A, Independence Mo, MO 64057 | 2014-06-06 |
| 1952711954 | Judy Bray | Occupational Therapy Assistant | 3980 East Jackson Drive, Independence, MO 64057 | 2014-04-30 |
| Find all providers in zip 64057 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916035 | Nicholas Portell | Optometrist | 13900 E Us Hwy, Suite A, Independence, MO 64055 | 2020-06-12 |
| 1417572686 | Caroline Mendus | Optometrist | 13900 E Us Highway 40, Independence, MO 64055-5860 | 2020-06-12 |
| 1376003673 | Shannon Elizabeth Cummings | Optometrist | 4801 S Cliff Ave Ste 100, Independence, MO 64055-6954 | 2019-03-22 |
| 1013381342 | Sawyer Vision Holdings LLC | Optometrist | 1131 Laurelwood Ln, Independence, KY 41051-9064 | 2015-11-24 |
| 1154663037 | Michael Wade Klein | Optometrist | 4741 S Cochise Drvie, Independence, MO 64055 | 2013-03-19 |
| 1952686255 | Insight Eyecare Specialties Inc | Optometrist | 19045 East Valley View Parkway, Suite A, Independence, MO 64055-9942 | 2011-10-18 |
| 1447575352 | Tiffany N. Tiller | Optometrist | 18777 E 39th St S, Sears Optical, Independence, MO 64057-1708 | 2010-04-02 |
| 1861620999 | Erin Michele Mills | Optometrist | 19040 E Valley View Parkway, Independence, MO 64055 | 2009-06-26 |
| 1437317369 | Novack Optometry Inc | Optometrist | 19049 East Valley View Pkwy, Suite G, Independence, MO 64055 | 2008-05-28 |
| 1619182219 | Robert Thomas Kingus | Optometrist | 1310 1st St West, Independence, IA 50644 | 2007-05-14 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 64057 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.