Aeg Pennsylvania Professional, INC

NPI #1003692617 in Monroeville, Pennsylvania

Provider Information

NPI Number: 1003692617
Entity Type: Organization
Organization Name: Aeg Pennsylvania Professional, INC
Subpart: Yes (part of a larger organization)
Parent Organization: AEG PENNSYLVANIA PROFESSIONAL, INC
Primary Specialty: Optometrist
Enumeration Date: Sep 8, 2023
Last Updated: Sep 8, 2023

Practice Location

Address: 4156 WILLIAM PENN HWY
City: Monroeville
State: Pennsylvania
ZIP Code: 15146-2602
Phone: (412) 372-8188

Authorized Official

Name: MELISSA ALLISON
Title: SR. DIRECTOR RCM/MVC
Phone: (618) 462-9818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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