Aeg Utah Professional Inc
NPI 1154212777 · Optometrist · Logan, UT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Aeg Utah Professional Inc is a Optometrist organization in Logan, UT (NPI 1154212777).
Provider details
- NPI number
- 1154212777
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Melissa Allison, Sr. Director Managed Vision Care(618) 604-5208
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-07-11
- Last updated
- 2025-07-11
- Certified
- 2025-07-11
Frequently asked questions
- What is Aeg Utah Professional Inc's NPI number?
- Aeg Utah Professional Inc's National Provider Identifier (NPI) is 1154212777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Aeg Utah Professional Inc?
- Aeg Utah Professional Inc is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Aeg Utah Professional Inc located?
- Aeg Utah Professional Inc's practice location on file with NPPES is 1300 N 200 E Ste 104, Logan, UT 84341-2460.
- What is Aeg Utah Professional Inc's phone number?
- The practice phone number listed in the NPPES registry for Aeg Utah Professional Inc is (435) 752-6453.
- Does Aeg Utah Professional Inc accept Medicare?
- Aeg Utah Professional Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Aeg Utah Professional Inc?
- The authorized official listed on Aeg Utah Professional Inc's NPPES record is Melissa Allison, Sr. Director Managed Vision Care. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Aeg Utah Professional Inc's NPI active?
- Yes — Aeg Utah Professional Inc's NPI (1154212777) is active in the NPPES registry as of the last update on 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.