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Aeg Louisiana Professional PC

NPI 1629827795ActiveOrganization· Optometrist· Alton, IL

Optometrist in Alton, Illinois, registered in NPPES in May 2024. The authorized official on file is Melissa Allison, Sr. Director Mvc. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1629827795
StatusActive
Entity typeOrganization
NPI issuedMay 13, 2024
Last updated in NPPESOct 14, 2025
Certified by providerOct 14, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Optometrist Primary152W00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (LA)

Medicare sources and data years

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