Paul Anton Hodge, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4901003016 Issued in MI

Practice address

123 Locust St
Allegan, MI 49010-1301

Phone

(269) 673-5100

Fax

(269) 673-1806

NPI assigned

Jun 23, 2005

Last updated

Apr 23, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Ferris State College - College of Optometry, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegan Eyecare PCGroup PAC ID 6103943220, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Beacon Dowagiac Inc

  dba Beacon Dowagiac

  • Rural Health Clinic/Center
  • Dowagiac, MI
  • NPI 1194717504

  Corporate Officer

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allegan Eyecare PC

  • Vision Therapy Optometrist
  • Allegan, MI
  • NPI 1366643538
  Medicare reassignment Care Compare group NPD Authorized official
• Beacon Allegan Inc

  dba Beacon Allegan

  • Hospitalist Physician
  • Allegan, MI
  • NPI 1992668925
  NPD (past)

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1861498974",
    "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": "490101301",
            "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": "490101301",
            "telephone_number": "269-673-5100",
            "fax_number": "269-673-1806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "PAUL",
        "middle_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "01459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900Z310140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "AE22935",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944340860",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410024558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "900Z365250",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelly Sue Herriman
• Jennifer Hibbard, LMSW
• Angel Marie Higgins, PA-C
• Emma Higgs
• Amanda M Hodge, O.D.
• Vicki Lynn Hodge, RPH
• Patrick Hoekstra
• Susan L Holcomb
• Holland Foot and Ankle Center, PC
• Abby Hopkins

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.