Organization
ALLEGAN EYECARE PC
Active
Other names
Hodge & Wood Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANTON HODGE OD (PRESIDENT)
(269) 673-5100
Entity
Organization
Contact information
Practice address
123 LOCUST ST, ALLEGAN, MI 49010
(269) 673-5100
(269) 673-1806
Mailing address
123 LOCUST ST, ALLEGAN, MI 49010
(269) 673-5100
(269) 673-1806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4901003016
MI
152WV0400X
Vision Therapy Optometrist
4901003042
MI
152WV0400X
Vision Therapy Optometrist
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900Z310140
BCBS OF MICHIGAN
—
05
—
944193774
—
MI
05
—
944340860
—
MI
Enumeration date
05/29/2007
Last updated
11/12/2014
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