Organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Active
Parent organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Other names
Eyetique
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEG PENNSYLVANIA PROFESSIONAL, INC
Authorized official
BENJAMIN CHUDNER (OWNER)
(618) 462-9818
Entity
Organization
Contact information
Practice address
5508 WALNUT ST # 5510, PITTSBURGH, PA 15232
(412) 441-5300
(412) 683-5330
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/27/2018
Last updated
10/23/2023
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