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AEG KENTUCKY PROFESSIONAL, PLLC
NPI 1467214080
Optometrist in Alton, IL

Active since January 29, 2024
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 25, 2026.

About Aeg Kentucky Professional, Pllc NPPES

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

AEG KENTUCKY PROFESSIONAL, PLLC (NPI 1467214080) is a healthcare organization registered as an optometrist in Alton, Illinois and active in the NPI registry since January 2024. The organization lists Benjamin Chudner, Owner, as its authorized official.

NPPES Registry Identity

NPI1467214080
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameAEG KENTUCKY 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 OfficialBenjamin ChudnerOwner · (314) 741-8183
Enumeration DateJanuary 29, 2024
Last NPPES UpdateJune 20, 2024
NPPES CertifiedJune 20, 2024
✔ NPI 1467214080 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 Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee 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 Kentucky Professional, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Aeg Kentucky Professional, PLLC, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Nearest to this location (20)

See all 21
Kaitlin Nesty, OD
Optometry
NPI 1023888088
120 SE 4TH ST STE 1300
Evansville, IN 47708
(812) 474-7100
✔ PECOS✔ Accepts Medicare156 mi
Taylor Yeardie, OD
Optometry
NPI 1578439147
300 9TH ST
Henderson, KY 42420
(270) 827-8681
✔ PECOS✔ Accepts Medicare159 mi
Stuart Shake, O.D.
Optometry
NPI 1982663589
6614 LOGAN DR
Evansville, IN 47715
(812) 477-6700
✔ PECOS✔ Accepts Medicare160 mi
Karlie Hoelscher, OD
Optometry
NPI 1669103032
4974 ROSEBUD LN
Newburgh, IN 47630
(812) 473-6080
✔ PECOS✔ Accepts Medicare162 mi
Elizabeth Martin, O.D.
Optometry
NPI 1083969034
221 ALLEN ST
Owensboro, KY 42303
(270) 685-4966
✔ PECOS✔ Accepts Medicare184 mi
Elizabeth Richardson, OD
Optometry
NPI 1285310029
2905 NEW HARTFORD RD
Owensboro, KY 42303
(270) 685-4966
✔ PECOS✔ Accepts Medicare186 mi
Robert Hamilton, D.O.
Optometry
NPI 1669471843
2905 NEW HARTFORD RD
Owensboro, KY 42303
(270) 685-4966
✔ PECOS✔ Accepts Medicare186 mi
Mary Baize-Moore, O.D.
Optometry
NPI 1073513057
1806 N 4TH ST
Murray, KY 42071
(270) 759-1429
✔ PECOS✔ Accepts Medicare186 mi
Reed Jarvis, O.D.
Optometry
NPI 1578762449
1806 N. 4TH ST.
Murray, KY 42071
(270) 759-1429
✔ PECOS✔ Accepts Medicare186 mi
Jesse Williams, O.D.
Optometry
NPI 1821343708
1806 N. 4TH ST
Murray, KY 42071
(270) 759-1429
✔ PECOS✔ Accepts Medicare186 mi
Davea Horton, O.D.
Optometry
NPI 1699734285
3310 PROFESSIONAL PARK SUITE 101
Owensboro, KY 42303
(270) 683-2101
✔ PECOS✔ Accepts Medicare187 mi
Steven Shake, O.D.
Optometry
NPI 1922068386
3310 PROFESSIONAL PARK SUITE 101
Owensboro, KY 42303
(270) 683-2101
✔ PECOS✔ Accepts Medicare187 mi
Marty Traylor, O.D.
Optometry
NPI 1336108927
3310 PROFESSIONAL PARK SUITE 101
Owensboro, KY 42303
(270) 683-2101
✔ PECOS✔ Accepts Medicare187 mi
Sheila Bogart, OD
Optometry
NPI 1902859812
321 N MAIN ST
Crown Point, IN 46307
(219) 663-5960
✔ PECOS✔ Accepts Medicare230 mi
Jared Grant, O.D.
Optometry
NPI 1821472267
5219 HIGHWAY 51 N
Senatobia, MS 38668
(662) 612-6016
✔ PECOS✔ Accepts Medicare298 mi
Lopasteeda Stephens, OD
Optometry
NPI 1972507317
915 N CHANCERY ST STE 120
Mcminnville, TN 37110
(931) 473-6865
✔ PECOS✔ Accepts Medicare327 mi
Barbara Van, OD
Optometry
NPI 1942819289
7905 LYLES LN NW
Concord, NC 28027
(704) 979-3900
✔ PECOS✔ Accepts Medicare576 mi
Mariam Rezk, OD
Optometry
NPI 1811706864
22715 BRIDGEWATER DR
Spring, TX 77373
(903) 617-8923
✔ PECOS679 mi
Ashley Lockman, OD
Optometry
NPI 1801458336
1075 N ACADEMY BLVD
Colorado Springs, CO 80909
(719) 597-4001
✔ PECOS✔ Accepts Medicare785 mi
Rosalyn Lilienthal, OD
Optometry
NPI 1932845435
20 PEACHTREE CT STE H&103A
Holbrook, NY 11741
(844) 843-2020
✔ PECOS917 mi
See all 21 clinicians

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 Kentucky Professional, PLLC's NPI number?

The NPI number for Aeg Kentucky Professional, PLLC is 1467214080. It was assigned to this organization in the NPPES registry on January 29, 2024.

Where is Aeg Kentucky Professional, PLLC located?

Aeg Kentucky 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 Kentucky Professional, PLLC's specialty?

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

Is Aeg Kentucky Professional, PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Aeg Kentucky Professional, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians, all in Optometry, reassign their Medicare billing to Aeg Kentucky 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 Kentucky Professional, PLLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Montana and 3 other insurers list Aeg Kentucky 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 Kentucky 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.