Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Kelly E Godsey II, OPTICIAN

Individual provider Optician · NPI 1952407827

Mr. Kelly E Godsey II, OPTICIAN is an Optician in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2006

Practice location Address checks out

111 Broyles St
Johnson City, TN 37601-2532
Phone: (423) 282-1932
Fax: (423) 282-8813
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence DPO174 (TN)

Record details

NPI number1952407827
Entity typeIndividual (Type 1)
GenderMale
Credentials OPTICIAN
Sole proprietorYes
NPI enumeratedSeptember 16, 2006
Last updated in NPPESJanuary 11, 2008

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