Aeg Florida Professional PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AEG FLORIDA PROFESSIONAL PLLC

Practice address

7051 Dr Phillips Blvd Ste 3
Orlando, FL 32819-5140

Phone

(407) 351-3232

NPI assigned

Feb 19, 2025

Organization subpart

No

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

Authorized official

Name

Melissa Allison

Title

Sr. Director MVC

Phone

(314) 741-8183

Specialties & licenses 1

Addresses

Other names 1

• Bay Hill Eye Care Doing business as

Tax ID family

Aeg Florida Professional PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  NPD tax ID
• Aeg Florida Professional PLLC

  • Optometrist
  • Orlando, FL
  • NPI 1598560880
  NPD tax ID

Locations

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1073318366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026206",
            "telephone_number": "314-741-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 DR PHILLIPS BLVD STE 3",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195140",
            "telephone_number": "407-351-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEG FLORIDA PROFESSIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SR. DIRECTOR MVC",
        "authorized_official_telephone_number": "314-741-8183"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Hill Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Orlando, FL
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.