DR. EDWARD CARL GODNIG (O.D.) – Optometrist, NPI 1730186867

DR. EDWARD CARL GODNIG (O.D.) is a healthcare provider. based in Wasilla, Alaska. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 212 (AK). The NPI Number for DR. EDWARD CARL GODNIG (O.D.) is 1730186867

Main info

Male
Sole Proprietor
50 Years Of Experience
Accepts Medicare Assignment
Name
DR. EDWARD CARL GODNIG (O.D.)
NPI
1730186867
Phone
(907) 376-3917
Address
285 E PARKS HWY STE A
Enumeration Date
5 July 2005
Last Update Date
29 July 2020

Doctor Profile

Medical School Name
NEW ENGLAND COLLEGE OF OPTOMETRY
Secondary Phone
9073763917
Graduation Year
1976 (50 years ago)
PAC ID
2365549656
Group Practice PAC ID
6305210709
Professional Enrollment ID
I20070522000128
Address ID
AK996547039WA285XXHWYX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

146 OPTOMETRY in AK

Provider Addresses for DR. EDWARD CARL GODNIG (O.D.)

  • 285 E PARKS HWY STE A

    WASILLA, AK 996547039

    Phone: (907) 376-3917

    Fax: (907) 376-3967

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20070522000128IOptometryAKTBD
I20120501000437IOptometryMPTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92004New patient complete exam of visual system4343$0
92014Established patient complete exam of visual system2323$0
View full utilization report →

Insurance plans in this area (ZIP 99654)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6305210709View full group profile
NameSpecialtyState
O P T O M E T R YCO
O P T O M E T R YNJ
O P T O M E T R YIN
O P T O M E T R YMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. EDWARD CARL GODNIG (O.D.)?
DR. EDWARD CARL GODNIG (O.D.) — NPI 1730186867 — is the standard way to identify this listing.
Can I rely on DR. EDWARD CARL GODNIG (O.D.) being an active provider?
As of the registry snapshot, DR. EDWARD CARL GODNIG (O.D.) is marked active.
What healthcare role does DR. EDWARD CARL GODNIG (O.D.) hold?
Scheduling teams often label DR. EDWARD CARL GODNIG (O.D.) under Optometrist. Clinical services aligned with this taxonomy classification.
What address line appears for DR. EDWARD CARL GODNIG (O.D.)?
DR. EDWARD CARL GODNIG (O.D.)'s geographic hint is Wasilla, Alaska in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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