IndividualActive
Edward Godnig, O.D.
NPI 1730186867 · Optometrist · Wasilla, AK
Provider details
- NPI number
- 1730186867
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 212 (AK)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
285 E Parks Hwy Ste a
Wasilla, AK 99654-7039
Phone: (907) 376-3917
Fax: (907) 376-3967
Approximate (ZIP-level) locationGet directions
Mailing address
285 E Parks Hwy Ste a
Wasilla, AK 99654-7039
Registry dates
- Enumerated
- 2005-07-05
- Last updated
- 2020-07-29
- Certified
- 2020-07-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.