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Contact Information

AEG LOUISIANA PROFESSIONAL PC
111 E 4TH ST STE 440
ALTON, IL62002-6206
 Phone: 618-462-9818
 Fax: 314-741-4947
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for AEG LOUISIANA PROFESSIONAL PC

NPI Number 1629827795
LBN Legal business name AEG LOUISIANA PROFESSIONAL PC
Authorized official MELISSA ALLISON - (SR. DIRECTOR MVC)
Entity Organization
Organization subpart 1 No
Enumeration date 05/13/2024
Last updated 10/14/2025 - About 8 months 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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