- Practice location
- 990 Broadway St NE Ste 100, Salem, OR 97301-1396
- Phone
- 503-364-0767
- Fax
- —
- Last updated
- June 20, 2024
Aeg Oregon Professional LLC is a healthcare organization based in Salem, OR. The NPI number for Aeg Oregon Professional LLC is 1679253397. The current practice location address is 990 Broadway St NE Ste 100, Salem, OR 97301-1396 and the office can be reached by phone at 503-364-0767. The NPI was assigned on July 18, 2023 and the record was last updated in NPPES on June 20, 2024.
●Provider Profile Details
- NPI Number
- 1679253397
- Provider Name
- Aeg Oregon Professional LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Optometrist · 152W00000X
- Organization Subpart
- No
- Authorized Official
- Melissa K Allison · Sr. Director Rcm/Mvc · 314-741-8183
- Enumeration Date
- July 18, 2023
- Last Update Date
- June 20, 2024
- Certification Date
- June 20, 2024
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 990 Broadway St NE Ste 100
Salem, OR 97301-1396 - City
- Salem
- State
- Oregon
- ZIP
- 97301-1396
- Country
- US
- Phone Number
- 503-364-0767
✉Business Mailing Address
- Address
- 111 E 4TH St Ste 440
Alton, IL 62002-6206 - City
- Alton
- State
- IL
- ZIP
- 62002-6206
- Phone Number
- 618-462-9818
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Optometrist 193400000X - Single Specialty Group | 152W00000X | Yes | — | — |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Salem →?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 at npiregistry.cms.hhs.gov.