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Contact Information

WADE GODSHALL, OD
1008 INDEPENDENCE CENTER DRIVE
INDEPENDENCE, MO64057
 Phone: 816-795-0011
 Fax: 816-795-8267
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for WADE GODSHALL · (Male)

NPI Number 1013072867
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 12/22/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • MO License # T03377
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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