OrganizationActive
Aeg Oregon Professional LLC
NPI 1679253397 · Optometrist · Salem, OR
Provider details
- NPI number
- 1679253397
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Melissa Allison, Sr. Director Rcm/Mvc(314) 741-8183
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
990 Broadway St Ne Ste 100
Salem, OR 97301-1396
Phone: (503) 364-0767
Approximate (ZIP-level) locationGet directions
Mailing address
111 E 4th St Ste 440
Alton, IL 62002-6206
Registry dates
- Enumerated
- 2023-07-18
- Last updated
- 2024-06-20
- Certified
- 2024-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.