Aeg Louisiana Professional PC

NPI #1629827795 in Alton, Illinois

Provider Information

NPI Number: 1629827795
Entity Type: Organization
Organization Name: Aeg Louisiana Professional PC
Primary Specialty: Optometrist
Enumeration Date: May 13, 2024
Last Updated: Oct 14, 2025

Practice Location

Address: 111 E 4TH ST STE 440
City: Alton
State: Illinois
ZIP Code: 62002-6206
Phone: (618) 462-9818

Authorized Official

Name: MELISSA ALLISON
Title: SR. DIRECTOR MVC
Phone: (618) 604-5208

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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