AEG OREGON PROFESSIONAL LLC
NPI 1679253397
Optometrist in Salem, OR

Active since July 18, 2023
990 BROADWAY ST NE STE 100, SALEM, OR 97301(503) 364-0767 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2024, Jul 18, 2023 (2 updates tracked since 2023).

About Aeg Oregon Professional Llc NPPES

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

AEG OREGON PROFESSIONAL LLC (NPI 1679253397) is a healthcare organization registered as an optometrist in Salem, Oregon and active in the NPI registry since July 2023. The organization lists Melissa K Allison, Sr. Director Rcm/mvc, as its authorized official.

NPPES Registry Identity

NPI1679253397
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameAEG OREGON PROFESSIONAL LLC
Location Address990 BROADWAY ST NE STE 100Salem, OR 97301-1396
Mailing Address111 E 4th St Ste 440Alton, IL 62002-6206 · (618) 462-9818
Organization SubpartNo
Authorized OfficialMelissa K AllisonSr. Director Rcm/mvc · (314) 741-8183
Enumeration DateJuly 18, 2023
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1679253397 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.
990 BROADWAY ST NE STE 100, Salem, OR 97301

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

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 Oregon Professional Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

16

Medicare enrollment records show 16 clinicians reassign Medicare billing to Aeg Oregon Professional LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (16)

Optometry
NPI 1548884158
3025 LANCASTER DR NE
Salem, OR 97305
(503) 365-5982
✔ PECOS✔ Accepts Medicare2.5 mi
Optometry
NPI 1073776829
364 N IVY ST
Canby, OR 97013
(503) 266-4847
✔ PECOS✔ Accepts Medicare27 mi
Optometry
NPI 1669667143
9730 SW WASHINGTON SQUARE RD
Tigard, OR 97223
(503) 624-0666
✔ PECOS✔ Accepts Medicare37 mi
Optometry
NPI 1518902089
12817 SE 93RD AVE
Clackamas, OR 97015
(503) 783-3300
✔ PECOS✔ Accepts Medicare40 mi
Optometry
NPI 1780969832
1962 SW BROADWAY
Portland, OR 97201
(503) 267-3228
✔ PECOS42 mi
Optometry
NPI 1811472749
8136 SE FOSTER RD STE 260
Portland, OR 97206
(503) 546-4460
✔ PECOS✔ Accepts Medicare43 mi
Optometry
NPI 1902873862
8136 SE FOSTER RD STE 260
Portland, OR 97206
(503) 546-4460
✔ PECOS✔ Accepts Medicare43 mi
Optometry
NPI 1972854222
8101 NE PARKWAY DR STE D2&D4
Vancouver, WA 98662
(360) 314-6900
✔ PECOS53 mi
Optometry
NPI 1619913944
63455 N HWY 97 STE 75
Bend, OR 97703
(541) 388-7906
✔ PECOS104 mi
Optometry
NPI 1609527613
61535 S HIGHWAY 97 STE 16
Bend, OR 97702
(541) 389-4774
✔ PECOS✔ Accepts Medicare106 mi
Optometry
NPI 1609629161
61535 S HWY 97 STE 16
Bend, OR 97702
(541) 389-4774
✔ PECOS✔ Accepts Medicare106 mi
Optometry
NPI 1982799789
61535 S HWY 97 STE 13
Bend, OR 97702
(541) 389-4774
✔ PECOS106 mi
Optometry
NPI 1073711222
1160 W ELM AVE
Hermiston, OR 97838
(541) 567-6623
✔ PECOS✔ Accepts Medicare191 mi
Optometry
NPI 1215562160
1160 W ELM AVE
Hermiston, OR 97838
(541) 567-6623
✔ PECOS✔ Accepts Medicare191 mi
Optometry
NPI 1407848476
1060 W ELM AVE SUITE 135
Hermiston, OR 97838
(541) 567-6623
✔ PECOS✔ Accepts Medicare191 mi
Optometry
NPI 1417996976
13414 E SPRAGUE AVE
Spokane Valley, WA 99216
(509) 924-2015
✔ PECOS335 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 Oregon Professional LLC's NPI number?

The NPI number for Aeg Oregon Professional LLC is 1679253397. It was assigned to this organization in the NPPES registry on July 18, 2023.

Where is Aeg Oregon Professional LLC located?

Aeg Oregon Professional LLC is located at 990 Broadway St NE Ste 100, Salem, OR 97301. The listed phone number is (503) 364-0767.

What is Aeg Oregon Professional LLC's specialty?

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

Is Aeg Oregon Professional LLC enrolled in Medicare?

Yes. Aeg Oregon Professional LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Aeg Oregon Professional LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians, all in Optometry, reassign their Medicare billing to Aeg Oregon Professional LLC. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Aeg Oregon Professional LLC 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 and 3 other insurers list Aeg Oregon Professional LLC 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 Oregon Professional LLC 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.