Aeg Kentucky Professional, PLLC
NPI 1467214080ActiveOrganization· Optometrist· Alton, IL
Optometrist in Alton, Illinois, registered in NPPES in January 2024. The authorized official on file is Benjamin Chudner, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1467214080 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2024 |
| Last updated in NPPES | Jun 20, 2024 |
| Certified by provider | Jun 20, 2024 |
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 (KY) |
|---|
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