Aeg Texas Professional PLLC
Optometrist in Garland, TX. Organization (NPI-2).
NPI number1447056783
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1447056783
- Entity type
- Organization (NPI-2)
- Legal business name
- Aeg Texas Professional PLLC
- Organization subpart
- No
- Enumeration date
- Feb 19, 2025
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Epic Eyecare (Doing Business As)
Practice location
1138 Belt Line Rd Ste 230Garland, TX 75040-1994
Phone 972-268-7938
Mailing address
111 E 4th St Ste 440Alton, IL 62002-6206
Phone 314-741-8183
Authorized official
Melissa Allison
Sr. Director Mvc
3147418183
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