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Aeg Ohio Professional PC — NPI 1023617222, Ontario, OH | NPI Central

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NPI 1023617222

OrganizationActive

Aeg Ohio Professional PC

NPI 1023617222 · Optometrist · Ontario, OH

Provider details

NPI number: 1023617222
Entity type: Organization
Primary specialty: OptometristEye and Vision Services Providers
Organization subpart: No
Authorized official: Melissa Allison, Sr. Director Mvc(314) 741-8183

Specialties & taxonomies

OptometristPrimary152W00000X
Eye and Vision Services Providers

Practice location

803 N Lexington Springmill Rd

Ontario, OH 44906-1116

Phone: (419) 525-2060

Approximate (ZIP-level) locationGet directions

More OH providers

Mailing address

211 E Broadway

Alton, IL 62002-6220

Other names (DBA / former)

Doing business as: Shawnee Optical
Doing business as: Shawnee Optical

Registry dates

Enumerated: 2020-10-20
Last updated: 2025-02-19
Certified: 2025-02-19

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