BODIE K GODWIN (O.D.) – Optometrist, NPI 1194883801

BODIE K GODWIN (O.D.) is a healthcare provider. based in Schaumburg, Illinois. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 046-008522 (IL). The NPI Number for BODIE K GODWIN (O.D.) is 1194883801

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
BODIE K GODWIN (O.D.)
NPI
1194883801
Phone
(847) 619-2932
Address
#301 WOODFIELD SHPNG CTR
Enumeration Date
5 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Secondary Phone
6307782020
Graduation Year
1992 (34 years ago)
PAC ID
0648367342
Group Practice PAC ID
8022921758
Professional Enrollment ID
I20071026000687
Address ID
IL605632832NA705XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,715 OPTOMETRY in IL

Provider Addresses for BODIE K GODWIN (O.D.)

  • #301 WOODFIELD SHPNG CTR

    WOODFIELD MALL

    SCHAUMBURG, IL 601735012

    Phone: (847) 619-2932

    Fax: (847) 619-3967

    Type: Location

  • 1368, Bay Meadows Drive, Bartlett, Wayne Township, DuPage County, Illinois, 60103, United States

    BARTLETT, IL 601032069

    Phone: (630) 289-8013

    Fax: (630) 213-7407

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $541.

Total Amount is formed as General ($541) + Research ($0) + Ownership ($0) = $541.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: CooperVision Inc. ($168).

Total Amount

$541

General + Research + Ownership

Payments

13

Total payment records

General Amount

$541

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2007-10-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20071026000687IOptometryILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60173)

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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: 8022921758View full group profile
NameSpecialtyState
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
-IL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL
O P T O M E T R YIL

Reviews

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Frequently asked questions

Does BODIE K GODWIN (O.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — BODIE K GODWIN (O.D.) uses 1194883801.
Does CMS list BODIE K GODWIN (O.D.) as active?
Yes — BODIE K GODWIN (O.D.) is active in the NPI listing used on this page.
What taxonomy line describes BODIE K GODWIN (O.D.)?
For research purposes, treat BODIE K GODWIN (O.D.) as Optometrist in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BODIE K GODWIN (O.D.) on a map?
Expect Schaumburg, Illinois as a primary anchor for BODIE K GODWIN (O.D.) unless the record lists multiple sites.
Is the information about BODIE K GODWIN (O.D.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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