Aeg Pennsylvania Professional, INC

NPI #1174350094 in Butler, Pennsylvania

Provider Information

NPI Number: 1174350094
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 16, 2024
Last Updated: Sep 16, 2024

Practice Location

Address: 156 N MAIN ST
City: Butler
State: Pennsylvania
ZIP Code: 16001-4927
Phone: (724) 287-5739

Authorized Official

Name: MELISSA ALLISON
Title: SR. DIRECTOR OF RCM
Phone: (314) 741-8183

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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