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Aeg Delaware Professional PA — NPI 1003596875, Alton, IL | NPI Central

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NPI 1003596875

OrganizationActive

Aeg Delaware Professional PA

NPI 1003596875 · Optometrist · Alton, IL

Provider details

NPI number: 1003596875
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Organization subpart: No
Authorized official: Melissa Allison, Sr. Director Rcm/Mvc(618) 462-9818

Specialties & taxonomies

OptometristPrimary152W00000X
Eye and Vision Services Providers

Practice location

111 E 4th St Ste 440

Alton, IL 62002-6206

Phone: (618) 462-9818

Approximate (ZIP-level) locationGet directions

More IL providers

Mailing address

111 E 4th St Ste 440

Alton, IL 62002-6206

Registry dates

Enumerated: 2023-07-18
Last updated: 2024-05-14
Certified: 2024-05-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.