Godnig, Edward Carl

Godnig, Edward Carl is an sole proprietor health care provider with primary practice located at 285 E Parks Hwy Ste A , Wasilla AK 99654-7039. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Godnig, Edward Carl can be contacted via phone (907) 376-3917.

Contact Information

Primary practice address
285 E Parks Hwy Ste A Wasilla AK 99654-7039
Fax: (907) 376-3967
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 212 Alaska

Profile Details

NPI number 1730186867
LBN Legal business name Godnig, Edward Carl
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2005
Last updated Jul 29th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730186867 NPPES
Alaska MEDICAID OD4478

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