NPIMap

Organization Active NPI

Aeg Texas Professional PLLC

  • Optometrist
  • Kerrville, TX
National Provider Identifier
1457905937
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AEG TEXAS PROFESSIONAL PLLC
Practice address
205B W Water St
Kerrville, TX 78028-4252
Phone
(830) 896-2600
NPI assigned
Aug 1, 2019
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Melissa Allison
Title
Sr. Dir. RCM/MVC
Phone
(618) 462-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

205B W Water St
Kerrville, TX 78028-4252

Mailing address

111 E 4TH St Ste 440
Alton, IL 62002-6206
Phone (618) 462-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191021001152 TX Part B Supplier - Clinic/Group Practice 4486985678 Receives reassigned benefits from 397 practitioners

National Provider Directory

National Provider Directory
Tax ID family
Aeg Texas Professional PLLC31 organizations share this tax ID, including this one

Other organizations with this tax ID 30

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

View all 30

Locations (25 of 36)

5501 N Interstate 35
Ste B
Austin, TX 78723
Phone (512) 451-0229

5900 W Slaughter Ln
Ste 450
Austin, TX 78749
Phone (512) 288-0090

747 Highway 71 W
Ste 550
Bastrop, TX 78602
Phone (512) 321-3042

130 Norris Ln
Boerne, TX 78006
Phone (830) 249-3898

209 Market St
Burleson, TX 76028
Phone (817) 295-0186

541 E Sandy Lake Rd
Coppell, TX 75019
Phone (972) 393-3937

5330 E Mockingbird Ln
Ste 130
Dallas, TX 75206
Phone (214) 341-9955

8611 Hillcrest Ave
Ste 140
Dallas, TX 75225
Phone (214) 739-8611

1325 George Dieter Dr
Ste I2
El Paso, TX 79936
Phone (915) 587-9400

2222 Montana Ave
#3602
El Paso, TX 79903
Phone (915) 544-6700

4775 Loma del Sur Dr
El Paso, TX 79934
Phone (512) 889-2020

7410 Remcon Cir
Ste K
El Paso, TX 79912
Phone (915) 587-9400

301 10th St
Ste 3
Floresville, TX 78114
Phone (830) 393-7744

3551 Justin Rd
Ste 150
Flower Mound, TX 75028
Phone (210) 490-9205

1102 N Llano St
Ste A
Fredericksburg, TX 78624
Phone (830) 997-0131

508 S Adams St
Fredericksburg, TX 78624
Phone (830) 997-2504

3385 Naaman School Rd
Garland, TX 75040
Phone (972) 469-2020

6850 N Shiloh Rd
Ste T
Garland, TX 75044
Phone (972) 414-0444

238 Meyerland Plaza Mall
Houston, TX 77096
Phone (713) 771-2020

5706 San Felipe St
Ste B400
Houston, TX 77057
Phone (281) 347-0004

6910 Bellaire Blvd
Ste 3
Houston, TX 77074
Phone (713) 490-6675

19623 Highway 59 N
Humble, TX 77338
Phone (281) 446-0103

22132 Westheimer Pkwy
Katy, TX 77450
Phone (281) 828-1010

23701 Cinco Ranch Blvd
Katy, TX 77494
Phone (281) 347-3937

2951 Marina Bay Dr
Ste 100
League City, TX 77573
Phone (281) 334-5277

Practitioners & affiliated clinicians

Practitioners 459

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 459

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1457905937",
    "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": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205B W WATER ST",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284252",
            "telephone_number": "830-896-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AEG TEXAS PROFESSIONAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SR. DIR. RCM/MVC",
        "authorized_official_telephone_number": "618-462-9818"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.