Aeg 6 TX Professional, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

AEG 6 TX PROFESSIONAL, PLLC

Practice address

1829 Martin Dr Ste 200
Weatherford, TX 76086-6381

Phone

(817) 594-2311

Fax

(314) 741-4947

NPI assigned

Jan 24, 2024

Last updated

Feb 6, 2024By the provider in NPPES

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. Dir. MVC

Phone

(618) 462-9818

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1902668031",
    "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": "1829 MARTIN DR STE 200",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760866381",
            "telephone_number": "817-594-2311",
            "fax_number": "314-741-4947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4950 Overton Ridge Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761321909",
            "country_code": "US",
            "telephone_number": "817-294-3371",
            "fax_number": "314-741-4947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7728 Mid Cities Blvd",
            "address_purpose": "LOCATION",
            "city": "North Richland Hills",
            "state": "TX",
            "postal_code": "761804621",
            "country_code": "US",
            "telephone_number": "817-281-3386",
            "fax_number": "314-741-4947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AEG 6 TX PROFESSIONAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SR. DIR. 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": []
}

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• Optometrist in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.