| NPI | 1366643538 |
|---|---|
| Former Legal Business Name | HODGE & WOOD INC |
| Entity Type | Organization |
| Authorized Contact | PAUL ANTON HODGE President 269-673-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MI 4901003016) |
| 152WV0400X Optometrist, Vision Therapy (Licence: MI 4901003042) | |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-11-12 |