Organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Active
Parent organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Other names
Owens Optometric
Organization subpart
Yes
Provider details
NPI number
Legal business name
AEG PENNSYLVANIA PROFESSIONAL, INC
Authorized official
MELISSA ALLISON (SR. DIRECTOR RCM/MVC)
(618) 462-9818
Entity
Organization
Contact information
Practice address
406 E MAIN ST, NEW HOLLAND, PA 17557-1404
(717) 354-2251
(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
09/08/2023
Last updated
09/08/2023
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