Individual
DR. AMANDA M HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
123 LOCUST ST, ALLEGAN, MI 49010-1301
(269) 673-5100
(269) 673-1806
Mailing address
123 LOCUST ST, ALLEGAN, MI 49010-1301
(269) 673-5100
(269) 673-1806
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
490100462
MI
152WV0400X
Vision Therapy Optometrist
4901004652
MI
Other
Enumeration date
07/19/2011
Last updated
12/22/2011
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