John Austin Godfrey (NPI# 1447316385, PAC ID# 3678768173) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1447316385 |
| PAC ID by PECOS | 3678768173 |
| Professional Enrollment ID | I20101110000503 |
| Full Name | John Austin Godfrey |
| Organization Legal Name | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Address |
804 Broad Ripple Ave Indianapolis IN 46220-1961 |
| Phone Number | 3172575421 |
| Gender | M |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 1981 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 5496091316 |
| Number of Group Practice Members | 65 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 804 Broad Ripple Ave, Indianapolis, IN 46220-1961 | 3172575421 | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Organization Legal Name | MYEYEDR OPTOMETRY OF INDIANA LLC |
| Physicians | 61 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Mangiaracina | Optometry | Myeyedr Optometry of Indiana LLC | 279 W 80th Pl, Merrillville, IN 46410-5491 |
| Miklos Balogh | Optometry | Myeyedr Optometry of Indiana LLC | 1525 Us Hwy 41, Schererville, IN 46375-1353 |
| Nathaniel Clark | Optometry | Myeyedr Optometry of Indiana LLC | 105 S Raceway Rd, Suite 100, Indianapolis, IN 46231-1415 |
| Melissa Alane Lewis | Optometry | Myeyedr Optometry of Indiana LLC | 100 S Creasy Ln, Suite 1530, Lafayette, IN 47905-0757 |
| Paula J Gring | Optometry | Myeyedr Optometry of Indiana LLC | 422 Perry St, La Porte, IN 46350-3200 |
| Amy Elizabeth Iddins | Optometry | Myeyedr Optometry of Indiana LLC | 14555 Hazel Dell Pkwy, Suite 120, Carmel, IN 46033-7234 |
| Hannah Cater | Optometry | Myeyedr Optometry of Indiana LLC | 7840 E 96th St, Fishers, IN 46037-9629 |
| Matthew R Gifford | Optometry | Myeyedr Optometry of Indiana LLC | 5111 N Main St, Suite 200, Mishawaka, IN 46545-9039 |
| Trevor Scott Keck | Optometry | Myeyedr Optometry of Indiana LLC | 357 W Morgan St C, Spencer, IN 47460-1255 |
| Amy L Petkus | Optometry | Myeyedr Optometry of Indiana LLC | 3540 Calumet Ave, Valparaiso, IN 46383-2246 |
| Street Address |
804 BROAD RIPPLE AVE |
| City | INDIANAPOLIS |
| State | IN |
| Zip | 46220-1961 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott K Hasty | Optometry | Myeyedr Optometry of Indiana LLC | 804 Broad Ripple Ave, Indianapolis, IN 46220-1961 |
| Gregory C Smith | Optometry | Myeyedr Optometry of Indiana LLC | 804 Broad Ripple Ave, Indianapolis, IN 46220-1961 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Suzanne Lappas | Nurse Practitioner | University Family Physicians, Inc. | 2625 E 62nd St, 2010 Iu Health Physicians Primary Care, Indianapolis, IN 46220-0037 |
| Bryce A Mohr | Family Medicine | University Family Physicians, Inc. | 2625 E 62nd St, 2010 Iu Health Physicians Primary Care, Indianapolis, IN 46220-0037 |
| Mark D Bruns | Internal Medicine | University Family Physicians, Inc. | 2625 E 62nd St, 2010 Iu Health Physicians Primary Care, Indianapolis, IN 46220-0037 |
| Tami S Krichiver | Clinical Psychologist | 6544 Ferguson St, Indianapolis, IN 46220-1178 | |
| James A Vuotto | Chiropractic | 2127 E 71st St, Back Pain Chiropractic, Indianapolis, IN 46220-1307 | |
| David C Frauman | Psychologist, Clinical | 819 E 64th St, Suite 214, Indianapolis, IN 46220-1657 | |
| Katharine G Slaughter | Clinical Social Worker | 819 E 64th St, Suite 242, Indianapolis, IN 46220-1672 | |
| Christina Mary Nudi | Nurse Practitioner | St Vincent Medical Group Inc | 6320 N College Ave, Indianapolis, IN 46220-1706 |
| Justin M Kiesel | Physical Therapy | Athletico Ltd | 6280 N College Ave, Suite 300, Indianapolis, IN 46220-2029 |
| Lindsay Spears | Physical Therapy | Team Rehabilitation In02 LLC | 1081 Broad Ripple Ave, Indianapolis, IN 46220-2034 |
| Find all physicians in zip 46220 | |||
| City | INDIANAPOLIS |
| Zip Code | 46220 |
| Specialty | OPTOMETRY |
| City + Specialty | INDIANAPOLIS + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.