Aeg Pennsylvania Professional, INC

NPI #1407683352 in Jeannette, Pennsylvania

Provider Information

NPI Number: 1407683352
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: 105 LOCUST ST
City: Jeannette
State: Pennsylvania
ZIP Code: 15644-2501
Phone: (724) 527-5884

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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