OrganizationActive
Aeg Utah Professional Inc
NPI 1154212777 · Optometrist · Logan, UT
Provider details
- NPI number
- 1154212777
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Authorized official
- Melissa Allison, Sr. Director Managed Vision Care
Mailing address
111 E 4th St Ste 440
Alton, IL 62002-6206
Registry dates
- Enumerated
- 2025-07-11
- Last updated
- 2025-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.