Optometrist
AEG OREGON PROFESSIONAL LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1679253397 · enumerated 2023-07-18 · record updated 2024-06-20. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: MELISSA ALLISON, Sr. Director RCM/MVC · (314) 741-8183
Addresses and phones
- Practice location 990 BROADWAY ST NE STE 100, SALEM, OR, 97301-1396 (503) 364-0767 Google Maps Apple Maps OpenStreetMap
- Mailing address 111 E 4TH ST STE 440, ALTON, IL, 62002-6206 (618) 462-9818 Google Maps Apple Maps OpenStreetMap
Specialties
- Optometrist 152W00000X · Primary
In this directory
Locations and evidence
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Practice location
SALEM, OR, 973011396
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.