| Aeg Louisiana Professional Pc | |
|
111 E 4th St Ste 440, Alton, IL 62002-6206 | |
| (618) 462-9818 | |
| (314) 741-4947 |
| Full Name | Aeg Louisiana Professional Pc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 111 E 4th St Ste 440, Alton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629827795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Richard H Bond |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396742698 PECOS PAC ID: 1355327602 Enrollment ID: I20040628000776 |
| Provider Name | Christopher Wroten |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902919913 PECOS PAC ID: 4789628660 Enrollment ID: I20050613000025 |
| Provider Name | Daniel Khong |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497856645 PECOS PAC ID: 7618977802 Enrollment ID: I20070112000077 |
| Provider Name | Catherine Lea Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003225921 PECOS PAC ID: 8325269525 Enrollment ID: I20141030002355 |
| Provider Name | Aimee B Chilton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760164495 PECOS PAC ID: 2264887389 Enrollment ID: I20231010002462 |
| Provider Name | Zachary Groves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477383354 PECOS PAC ID: 9638600869 Enrollment ID: I20240930000758 |
| Provider Name | Paulyna Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568915262 PECOS PAC ID: 3072034743 Enrollment ID: I20250311000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Aeg Louisiana Professional Pc 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 | Aeg Louisiana Professional Pc 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 |
Aeg Delaware Professional Pa Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 | |
Aeg Connecticut Professional Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947 | |
Dr. James Walter Lieber, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 401 Henry St, Alton, IL 62002 Phone: 618-465-6000 | |
Mark D. Wade O D P C Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947 | |
Nu-crown, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 111 E 4th St Ste 440, Alton, IL 62002 Phone: 618-462-9818 Fax: 314-741-4947 | |
Clarkson Optometry Illinois Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1819 Homer Adams Parkway, Suite B, Alton, IL 62002 Phone: 636-200-4393 Fax: 636-938-2650 | |
W.k.w. Enterprises, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2865 Homer M Adams Pkwy, Alton, IL 62002 Phone: 618-465-1654 Fax: 618-465-8652 |