Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY E GODSEY II, OPTICIAN
Active Sole ProprietorMR. KELLY E GODSEY II, OPTICIAN is a Optician, Dispensing healthcare provider located in JOHNSON CITY, Tennessee. NPI 1952407827 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1952407827
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2006 (19.874744627282 yrs)
- Last Updated
- Jan 11, 2008
- License
-
DPO174 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 BROYLES STJOHNSON CITY, TN, 376012532Browse TN providers · Browse ZIP 37601
- Phone
- 4232821932
- Fax
- 4232828813
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.