Organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Active
Parent organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Other names
Clompus, Reto, and Halscheid Vision -Exton
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEG PENNSYLVANIA PROFESSIONAL, INC
Authorized official
BENJAMIN CHUDNER OD (PRESIDENT)
(618) 462-9818
Entity
Organization
Contact information
Practice address
93 W DEVON DR STE 101, EXTON, PA 19341-3008
(610) 363-8960
(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
11/22/2023
Last updated
11/22/2023
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