IndividualActive
Aliisa Bodker, OD
NPI 1982746616 · Optometrist · Canton, MI
Provider details
- NPI number
- 1982746616
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- OD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4901004376 (MI)
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
108 N. Ridge Road
Canton, MI 48187-6601
Phone: (734) 725-2020
Fax: (734) 725-2040
Approximate (ZIP-level) locationGet directions
Mailing address
108 N. Ridge Road
Canton, MI 48187-6601
Registry dates
- Enumerated
- 2007-02-12
- Last updated
- 2015-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.