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Organization

AEG OHIO PROFESSIONAL PC

Active
Other names
Shawnee Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA ALLISON (SR. DIRECTOR MVC)
(314) 741-8183
Entity
Organization

Contact information

Practice address
128 W 12TH ST STE 201, ERIE, PA 16501-1750
(814) 456-9925
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Enumeration date
10/20/2020
Last updated
02/19/2025
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