Individual
DR. PAUL ANTON HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
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
4901003016
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01459
PRIORITY HEALTH
—
01
—
410024558
RAILROAD MEDICARE
—
01
—
900Z310140
BCBS OF MICHIGAN
—
01
—
900Z365250
BCBS OF MICHIGAN
MI
05
—
944340860
—
MI
01
—
AE22935
SPECTERA
—
Enumeration date
06/23/2005
Last updated
04/23/2015
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