Organization
AEG PENNSYLVANIA PROFESSIONAL INC
Active
Other names
Pediatric & Adult Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA ALLISON (SR. DIRECTOR RCM/MVC)
(314) 741-8183
Entity
Organization
Contact information
Practice address
110 VIP DR STE 301, WEXFORD, PA 15090-6923
(724) 935-9999
(724) 935-9974
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
07/11/2023
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