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AEG CONNECTICUT PROFESSIONAL PLLC
NPI 1023883675
Optometrist in Alton, IL

Active since November 22, 2023
111 E 4TH ST STE 440, ALTON, IL 62002(618) 462-9818(314) 741-4947 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 20, 2024, Nov 22, 2023 (2 updates tracked since 2023).

About Aeg Connecticut Professional Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AEG CONNECTICUT PROFESSIONAL PLLC (NPI 1023883675) is a healthcare organization registered as an optometrist in Alton, Illinois and active in the NPI registry since November 2023. The organization lists Melissa K Allison, Sr. Dir Rcm/mvc, as its authorized official.

NPPES Registry Identity

NPI1023883675
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameAEG CONNECTICUT PROFESSIONAL PLLC
Location Address111 E 4TH ST STE 440Alton, IL 62002-6206
Mailing Address111 E 4th St Ste 440Alton, IL 62002-6206 · (618) 462-9818 · Fax (314) 741-4947
Phone(618) 462-9818
Fax(314) 741-4947
Organization SubpartNo
Authorized OfficialMelissa K AllisonSr. Dir Rcm/mvc · (314) 741-8183
Enumeration DateNovember 22, 2023
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1023883675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
111 E 4TH ST STE 440, Alton, IL 62002
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Aeg Connecticut Professional Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Aeg Connecticut Professional PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (12)

Frank Poe, O.D.
Optometry
NPI 1831223585
177 SOUND BEACH AVE
Old Greenwich, CT 06870
(203) 637-3120
✔ PECOS✔ Accepts Medicare893 mi
Sarah Lechanski, O.D.
Optometry
NPI 1013166651
36 OLD KINGS HWY S STE 110
Darien, CT 06820
(203) 202-0202
✔ PECOS✔ Accepts Medicare898 mi
Annette Hoo, O.D.
Optometry
NPI 1285783670
192 FAIRFIELD AVE
Bridgeport, CT 06604
(203) 366-7504
✔ PECOS✔ Accepts Medicare914 mi
Allison Raucci, OD
Optometry
NPI 1811600778
775 MAIN ST
Stratford, CT 06615
(203) 377-2020
✔ PECOS✔ Accepts Medicare917 mi
Sean West, OD
Optometry
NPI 1114062999
775 MAIN ST
Stratford, CT 06615
(203) 377-2020
✔ PECOS✔ Accepts Medicare917 mi
Helen Ambizas, O.D.
Optometry
NPI 1376716860
775 MAIN ST
Stratford, CT 06615
(203) 377-2020
✔ PECOS✔ Accepts Medicare917 mi
Shawn Burns, O.D.
Optometry
NPI 1912170408
775 MAIN ST
Stratford, CT 06615
(203) 377-2020
✔ PECOS✔ Accepts Medicare917 mi
Kimberly Raucci, OD
Optometry
NPI 1578030458
775 MAIN ST
Stratford, CT 06615
(203) 377-2020
✔ PECOS✔ Accepts Medicare917 mi
Philip Perrino, OD
Optometry
NPI 1639191588
815 CHAPEL ST
New Haven, CT 06510
(203) 865-6727
✔ PECOS✔ Accepts Medicare928 mi
Thomas Arnista, O.D.
Optometry
NPI 1811089188
220 WELCH RD
Southington, CT 06489
(203) 333-4828
✔ PECOS✔ Accepts Medicare931 mi
Frances Sites, OD
Optometry
NPI 1699746040
16 MAIN ST STE 201
Durham, CT 06422
(860) 349-2323
✔ PECOS✔ Accepts Medicare942 mi
Hope Marandola, O.D.
Optometry
NPI 1548240146
10 NORWICH RD.
Central Village, CT 06332
(860) 564-2709
✔ PECOS✔ Accepts Medicare971 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aeg Connecticut Professional PLLC's NPI number?

The NPI number for Aeg Connecticut Professional PLLC is 1023883675. It was assigned to this organization in the NPPES registry on November 22, 2023.

Where is Aeg Connecticut Professional PLLC located?

Aeg Connecticut Professional PLLC is located at 111 E 4th St Ste 440, Alton, IL 62002. The listed phone number is (618) 462-9818.

What is Aeg Connecticut Professional PLLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Aeg Connecticut Professional PLLC enrolled in Medicare?

Yes. Aeg Connecticut Professional PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aeg Connecticut Professional PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians, all in Optometry, reassign their Medicare billing to Aeg Connecticut Professional PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Aeg Connecticut Professional PLLC accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee list Aeg Connecticut Professional PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aeg Connecticut Professional PLLC was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.