| Aeg Connecticut Professional Pllc | |
|
111 E 4th St Ste 440, Alton, IL 62002-6206 | |
| (618) 462-9818 | |
| (314) 741-4947 |
| Full Name | Aeg Connecticut Professional Pllc |
|---|---|
| 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 |
|---|---|---|---|
| 1023883675 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Frances E Sites |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699746040 PECOS PAC ID: 1052496387 Enrollment ID: I20080311000590 |
| Provider Name | Philip M Perrino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639191588 PECOS PAC ID: 7113908500 Enrollment ID: I20080507000194 |
| Provider Name | Thomas M Arnista |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811089188 PECOS PAC ID: 7416114467 Enrollment ID: I20120203000086 |
| Mailing Address | Practice Location Address |
|---|---|
| Aeg Connecticut Professional Pllc 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 | Aeg Connecticut Professional Pllc 111 E 4th St Ste 440, Alton, IL 62002-6206 Ph: (618) 462-9818 |
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