Aeg Pennsylvania Professional, Inc
Organization Active NPI Optometrist · Grove City, PA
NPI 1700613635 · NPPES record last updated Sep 16, 2024
Key facts
- NPI
- 1700613635
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- AEG PENNSYLVANIA PROFESSIONAL, INC
- Practice address
- 808 W Main St
Grove City, PA 16127-1114 - Phone
- (724) 458-8533
- NPI assigned
- Sep 16, 2024
- Organization subpart
- Yes
- Parent organization (as reported)
- AEG PENNSYLVANIA PROFESSIONAL, INC
Authorized official
- Name
- Melissa Allison
- Title
- Sr. Director of RCM
- Phone
- (314) 741-8183
Corporate family (same tax ID) 28
National Provider Directory
- Tax ID family
- Aeg Pennsylvania Prof Inc
- Part of
- Aeg Pennsylvania Prof Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
808 W Main St
Grove City, PA 16127-1114
Mailing address
111 E 4TH St Ste 440
Alton, IL 62002-6206
Phone (314) 741-8183
Other providers in Grove City, PA
- Jodi-Lynn Abbey-Hines
- Ashley Lynn Adams
- Advanced Chiropractic of Grove City PC
- Adventure Time Pediatric Therapy & Learning Center, LLC
- Brandis Nicole Ajay
- Christyan Kennedy Allan
- Allegheny Clinic
- Allegheny Clinic
- Allegheny Clinic
All providers in Grove City, PA · Optometrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.