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ALLEGAN EYECARE PC NPI 1366643538


NPI Information

NPI: 1366643538
Provider Name: ALLEGAN EYECARE PC

Former Legal Business Name: HODGE & WOOD INC

Classification: Optometrist - 152WV0400X
Entity Type: Organization

Specialization: Vision Therapy

CLIA Number: 23D2104291

Address:
123 LOCUST ST
ALLEGAN, MI
ZIP 49010
Phone: (269) 673-5100
Get Directions

ALLEGAN EYECARE PC is a vision therapy optometrist in Allegan, MI. The provider is optometrists who specialize in vision therapy as a treatment process used to improve vision function. It includes a broad range of developmental and rehabilitative treatment programs individually prescribed to remediate specific sensory, motor and/or visual perceptual dysfunctions. ALLEGAN EYECARE PC NPI is 1366643538. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Hodge & Wood Inc.

The provider's business location address is:

123 LOCUST ST
ALLEGAN, MI
ZIP 49010
Phone: (269) 673-5100
Fax: (269) 673-1806

The provider's authorized official is Paul Anton Hodge .
The authorized official title is President and has the following contact phone number (269) 673-5100.

The CLIA number assigned to this NPI record is 23D2104291 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 11/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist4901003016MICHIGANNo
2152WV0400XOptometristVision Therapy4901003042MICHIGANNo
3152WV0400XOptometristVision TherapyMICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10M92240MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
2944340860MEDICAIDMICHIGAN
3U26112MEDICARE UPINMICHIGAN
4944193774MEDICAIDMICHIGAN
5900Z310140OTHERBCBS OF MICHIGAN
6U62689MEDICARE UPINMICHIGAN
70265210001MEDICARE NSCMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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