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AEG UTAH PROFESSIONAL INC
NPI 1154212777
Optometrist in Logan, UT

Active since July 11, 2025
1300 N 200 E STE 104, LOGAN, UT 84341(435) 752-6453 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aeg Utah Professional Inc NPPES

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

AEG UTAH PROFESSIONAL INC (NPI 1154212777) is a healthcare organization registered as an optometrist in Logan, Utah and active in the NPI registry since July 2025. The organization lists Melissa Allison, Sr. Director Managed Vision Care, as its authorized official.

NPPES Registry Identity

NPI1154212777
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameAEG UTAH PROFESSIONAL INC
Location Address1300 N 200 E STE 104Logan, UT 84341-2460
Mailing Address111 E 4th St Ste 440Alton, IL 62002-6206
Phone(435) 752-6453
Organization SubpartNo
Authorized OfficialMelissa AllisonSr. Director Managed Vision Care · (618) 604-5208
Enumeration DateJuly 11, 2025
NPPES CertifiedJuly 11, 2025
✔ NPI 1154212777 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.
1300 N 200 E STE 104, Logan, UT 84341
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EYE CARE FOR YOU LLC
Optometrist
1300 N 200 E STE 104
LOGAN, UT 84341
Cache County (435) 752-6453

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 Utah Professional Inc's NPI number?

The NPI number for Aeg Utah Professional Inc is 1154212777. It was assigned to this organization in the NPPES registry on July 11, 2025.

Where is Aeg Utah Professional Inc located?

Aeg Utah Professional Inc is located at 1300 N 200 E Ste 104, Logan, UT 84341. The listed phone number is (435) 752-6453.

What is Aeg Utah Professional Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Aeg Utah Professional Inc was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.