Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kenton Donelle Hodge, LDO

Individual provider Optician · NPI 1780467258

Kenton Donelle Hodge, LDO is an Optician in Tucker, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2023
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Practice location Address checks out

1940 Mountain Industrial Blvd
Tucker, GA 30084-6619
Phone: (678) 280-0248
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optician (primary) Taxonomy 156FX1800X · Licence 1946 (GA)

Record details

NPI number1780467258
Entity typeIndividual (Type 1)
GenderMale
Credentials LDO
Sole proprietorYes
NPI enumeratedAugust 17, 2023
Last updated in NPPESAugust 17, 2023
Certification dateAugust 17, 2023

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