OrganizationActive
Aeg Michigan Professional LLC
NPI 1053032912 · Optometrist · Chesaning, MI
Provider details
- NPI number
- 1053032912
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Benjamin Chudner, Owner(618) 462-9818
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1555 Brady St
Chesaning, MI 48616-1022
Phone: (989) 845-7050
Fax: (314) 741-4947
Approximate (ZIP-level) locationGet directions
Mailing address
111 E 4th St Ste 440
Alton, IL 62002-6241
Registry dates
- Enumerated
- 2022-09-08
- Last updated
- 2023-09-18
- Certified
- 2023-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.