NPI 1003596875

Aeg Delaware Professional PA

Organisation Optometrist Alton, IL

Practice location

Address: 111 E 4th St STE 440, Alton, IL 62002-6206
Phone: (618) 462-9818

Authorised official

Name: Melissa Allison
Title: Sr. Director Rcm/Mvc
Phone: (618) 462-9818

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Illinois →

Registry record

NPI: 1003596875
Entity type: Organization
NPI issued: 18 Jul 2023
Record last updated: 14 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.