NPI 1003611310
Aeg Ohio Professional PC
Practice location
- Address
- 2468 Dayton Xenia Rd, Beavercreek, OH 45434-7168
- Phone
- (937) 426-7787
- Mailing address
- 111 E 4th St STE 440, Alton, IL 62002-6206
Authorised official
- Name
- Melissa Allison
- Title
- Sr. Director Mvc
- Phone
- (314) 741-8183
Registered specialties
Optometrist
Primary
Registry record
- NPI
- 1003611310
- Entity type
- Organization
- NPI issued
- 19 Feb 2025
- Record last updated
- 19 Feb 2025
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.