Aeg Pennsylvania Professional, INC
Optometrist in Lancaster, PA. Organization (NPI-2).
NPI number1982431813
StatusActive
Last updated in NPPESSep 16, 2024
Details
- NPI
- 1982431813
- Entity type
- Organization (NPI-2)
- Legal business name
- Aeg Pennsylvania Professional, INC
- Organization subpart
- Yes
- Enumeration date
- Sep 16, 2024
- Certification date
- Sep 16, 2024
- Last updated
- Sep 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
816 Estelle DrLancaster, PA 17601-2135
Phone 717-898-8878
Mailing address
111 E 4th St Ste 440Alton, IL 62002-6206
Phone 314-741-8183
Authorized official
Melissa Allison
Sr. Director Of Rcm
3147418183
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