Aeg Ohio Professional PC
Optometrist in Mentor, OH. Organization (NPI-2).
NPI number1487253266
StatusActive
Last updated in NPPESFeb 19, 2025
Details
- NPI
- 1487253266
- Entity type
- Organization (NPI-2)
- Legal business name
- Aeg Ohio Professional PC
- Organization subpart
- No
- Enumeration date
- Oct 22, 2020
- Certification date
- Feb 19, 2025
- Last updated
- Feb 19, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Other names
- Erie Optical (Doing Business As)
Practice location
8900 Mentor AveMentor, OH 44060-6345
Phone 440-255-7727
Mailing address
211 E BroadwayAlton, IL 62002-6220
Phone 618-462-9818
Authorized official
Melissa Allison
Sr. Director Mvc
3147418183
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