OrganizationActive
Aeg Florida Professional PLLC
NPI 1164156246 · Optometrist · Jacksonville, FL
Provider details
- NPI number
- 1164156246
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Melissa Allison, Senior Director Rcm/Mvc(618) 462-9818
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
4788 Hodges Blvd Ste 205
Jacksonville, FL 32224-7223
Phone: (904) 992-9991
Approximate (ZIP-level) locationGet directions
Mailing address
111 E 4th St Ste 440
Alton, IL 62002-6241
Registry dates
- Enumerated
- 2022-07-13
- Last updated
- 2022-07-13
- Certified
- 2022-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.