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Contact Information

AEG WASHINGTON PROFESSIONAL PC
2539 MARVIN RD NE STE B
LACEY, WA98516-3175
 Phone: 360-459-3333
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for AEG WASHINGTON PROFESSIONAL PC

NPI Number 1558166884
LBN Legal business name AEG WASHINGTON PROFESSIONAL PC
Authorized official MELISSA ALLISON - (SR. DIRECTOR MVC)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2025
Last updated 02/19/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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