Allegan Eyecare PC

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

Legal business name

ALLEGAN EYECARE PC

Practice address

123 Locust St
Allegan, MI 49010

Phone

(269) 673-5100

Fax

(269) 673-1806

NPI assigned

May 29, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Anton Hodge, ODNPI 1861498974

Title

President

Phone

(269) 673-5100

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Hodge & Wood Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul Anton Hodge, O.D.

  • Optometrist
  • Allegan, MI
  • NPI 1861498974
  Medicare reassignment Care Compare group NPD Authorized official
• Amanda M Hodge, O.D.

  • Optometrist
  • Allegan, MI
  • NPI 1548558935
  Medicare reassignment Care Compare group NPD
• Matthew Ryan Austin, OD

  • Optometrist
  • Elkhart, IN
  • NPI 1922591957

  MI

  Medicare reassignment Care Compare group NPD
• Emily Herendeen, OD

  • Optometrist
  • Columbus, OH
  • NPI 1760189476

  MI

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415750400000",
    "number": "1366643538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 LOCUST ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "49010",
            "telephone_number": "269-673-5100",
            "fax_number": "269-673-1806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 LOCUST ST",
            "city": "ALLEGAN",
            "state": "MI",
            "postal_code": "49010",
            "telephone_number": "269-673-5100",
            "fax_number": "269-673-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEGAN EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2014-11-12",
        "status": "A",
        "authorized_official_last_name": "HODGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ANTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "269-673-5100",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003016",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": "4901003042",
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900Z310140",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944193774",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944340860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hodge & Wood Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Allegan County Community Mental Health Services (OnPoint)
• Allegan County Health Department
• Allegan County Health Department (Maternal Infant Health Program)
• Allegan County Intermediate School District
• Allegan Emergency Medical Services,Inc
• Allegan Family Dentistry PC
• Allegan Internal Medicine, P. C (Thomas Street Clinic)
• Allegan Medical Center Pharmacy
• Allegan Medical Clinic, P.C.
• Allegan Nursing Home, LLC (Metron of Allegan)

• Vision Therapy Optometrist in Allegan, MI
• Providers in Allegan, MI by specialty
• Vision Therapy Optometrist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.