Aeg Florida Professional PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AEG FLORIDA PROFESSIONAL PLLC

Practice address

7208 W Sand Lake Rd Ste 202
Orlando, FL 32819-5278

Phone

(407) 271-8931

NPI assigned

Feb 19, 2025

Organization subpart

No

Name

Melissa Allison

Title

Sr. Director MVC

Phone

(314) 741-8183

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
  • Orlando, FL
  • NPI 1073318366
  NPD tax ID
• Aeg Florida Professional PLLC

  • Optometrist
  • Jacksonville, FL
  • NPI 1164156246
  NPD tax ID

• Southwest Orlando Eye Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 19, 2025.

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1598560880",
    "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": "7208 W SAND LAKE RD STE 202",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195278",
            "telephone_number": "407-271-8931"
        }
    ],
    "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": "Southwest Orlando Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Aesthetic and General Dentistry
• Aesthetic Dental

• 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.