Organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Active
Parent organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Other names
Eyetique -Cranberry
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEG PENNSYLVANIA PROFESSIONAL, INC
Authorized official
BENJAMIN CHUDNER (OWNER)
(360) 620-1186
Entity
Organization
Contact information
Practice address
802A WARRENDALE VILLAGE DRIVE, 2ND FLOOR, WARRENDALE, PA 15086
(724) 772-2222
(314) 741-4947
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
03/28/2013
Last updated
11/14/2023
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