Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENTON DONELLE HODGE, LDO
Active Sole ProprietorKENTON DONELLE HODGE, LDO is a Optician, Dispensing healthcare provider located in TUCKER, Georgia. NPI 1780467258 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · TUCKER, GA
Registration Details
- NPI Number
- 1780467258
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 17, 2023 (2.970857251245 yrs)
- Last Updated
- Aug 17, 2023
- License
-
1946 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1940 MOUNTAIN INDUSTRIAL BLVDTUCKER, GA, 300846619Browse GA providers · Browse ZIP 30084
- Phone
- 6782800248
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in TUCKER, GA
| Name | Credential | NPI |
|---|---|---|
| AMAMA RITA SAAKA | — | 1245015619 |
| DENISSE EVELYN VILLA LOPEZ | — | 1609654441 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.