Active NPIOrganization

Aeg Oregon Professional LLC

Optometrist in Salem, Oregon

NPI Number1679253397
Practice location
990 Broadway St NE Ste 100, Salem, OR 97301-1396
Fax
—
Last updated
June 20, 2024

Aeg Oregon Professional LLC is a healthcare organization based in Salem, OR. Aeg Oregon Professional LLC practices in Salem, OR. The NPI Number for Aeg Oregon Professional LLC is 1679253397. The current practice location address for Aeg Oregon Professional LLC is 990 Broadway St NE Ste 100, Salem, OR 97301-1396 and can be reached out via phone at 503-364-0767.

Provider Profile Details

NPI Number
1679253397
Provider Name
Aeg Oregon Professional LLC
Provider Entity Type
Organization
Address
990 Broadway St NE Ste 100, Salem, OR 97301-1396
Phone Number
503-364-0767
Primary Taxonomy
Optometrist · 152W00000X
Organization Subpart
No
Authorized Official
Melissa K Allison · Sr. Director Rcm/Mvc · 314-741-8183
Provider Enumeration Date
July 18, 2023
Last Update Date
June 20, 2024
Certification Date
June 20, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
990 Broadway St NE Ste 100
Salem, OR 97301-1396
City
Salem
State
Oregon
Zip
97301-1396
Phone Number
503-364-0767
Salem, OR 97301Get directions →

Provider Business Mailing Address Details

Address
111 E 4TH St Ste 440
Alton, IL 62002-6206
City
Alton
State
IL
Zip
62002-6206
Phone Number
618-462-9818

License Information

Taxonomy
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Aeg Oregon Professional LLC?

The NPI number of Aeg Oregon Professional LLC is 1679253397. It was assigned on July 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Aeg Oregon Professional LLC?

Aeg Oregon Professional LLC is registered under the primary taxonomy Optometrist (code 152W00000X).

Where does Aeg Oregon Professional LLC practice?

The practice location is 990 Broadway St NE Ste 100, Salem, OR 97301-1396. The office can be reached at 503-364-0767 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679253397 directly on the NPPES registry website.

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