Aeg Utah Professional Inc
NPI 1154212777ActiveOrganization· Optometrist· Logan, UT
Optometrist in Logan, Utah, registered in NPPES in July 2025. The authorized official on file is Melissa Allison, Sr. Director Managed Vision Care. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154212777 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 11, 2025 |
| Last updated in NPPES | Jul 11, 2025 |
| Certified by provider | Jul 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (UT) |
|---|
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