| Kristen Suzich Godwin, MD | |
|
1565 N University Pkwy, High Point, NC 27262-7613 | |
| (336) 802-2020 | |
| (336) 802-2021 |
| Full Name | Kristen Suzich Godwin |
|---|---|
| Gender | Female |
| Speciality | Ophthalmology |
| Location | 1565 N University Pkwy, High Point, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720549595 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 2023-00437 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| Entity Name | Wake Forest University Health Sciences |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristen Suzich Godwin, MD 1565 N University Pkwy, High Point, NC 27262-7613 Ph: (336) 802-2020 | Kristen Suzich Godwin, MD 1565 N University Pkwy, High Point, NC 27262-7613 Ph: (336) 802-2020 |
Dr. James Zachary Forsey, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Hartley Dr, High Point, NC 27262 Phone: 336-802-2020 Fax: 336-802-2021 | |
Dr. Michael Wayne Evans, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1400 E Hartley Dr, High Point, NC 27262 Phone: 336-802-2020 | |
Michael Emile Tepedino, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 307 Lindsay St, High Point, NC 27262 Phone: 336-802-2020 Fax: 336-802-2021 | |
Sally Shin Yee Ong, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1565 N University Pkwy, High Point, NC 27262 Phone: 336-802-2020 Fax: 336-802-2021 | |
Robert John Davanzo, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 307 N. Lindsay St, High Point, NC 27262 Phone: 336-802-2020 Fax: 336-802-2021 | |
Dr. Charles S Tara, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 307 Lindsay St, High Point, NC 27262 Phone: 336-802-2020 Fax: 336-802-2021 |