1. Home
  2. Directory
  3. Illinois
  4. Alton
  5. Optometrist
  6. NPI Profile

AEG WASHINGTON DC PROFESSIONAL PLLC
NPI 1699556043
Optometrist in Alton, IL

Active since October 11, 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 25, 2026.

Record update history: Jun 20, 2024, Dec 4, 2023, Oct 11, 2023 (3 updates tracked since 2023).

About Aeg Washington Dc Professional Pllc NPPES

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

AEG WASHINGTON DC PROFESSIONAL PLLC (NPI 1699556043) is a healthcare organization registered as an optometrist in Alton, Illinois and active in the NPI registry since October 2023. The organization lists Saba E Ayalew, Owner, as its authorized official.

NPPES Registry Identity

NPI1699556043
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameAEG WASHINGTON DC 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 OfficialSaba E AyalewOwner · (314) 741-8183
Enumeration DateOctober 11, 2023
Last NPPES UpdateJune 20, 20243 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1699556043 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
Open in Google Maps ↗

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Aeg Washington Dc Professional PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Kristin Stupiansky, O.D.
Optometry
NPI 1912310673
1919 PENNSYLVANIA AVE NW
Washington, DC 20006
(202) 467-5555
✔ PECOS708 mi
Asha Vyas, OD
Optometry
NPI 1740769736
50 MASSACHUSETTS AVE NE
Washington, DC 20002
(202) 827-6143
✔ PECOS✔ Accepts Medicare710 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 Washington Dc Professional PLLC's NPI number?

The NPI number for Aeg Washington Dc Professional PLLC is 1699556043. It was assigned to this organization in the NPPES registry on October 11, 2023.

Where is Aeg Washington Dc Professional PLLC located?

Aeg Washington Dc 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 Washington Dc Professional PLLC's specialty?

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

Is Aeg Washington Dc Professional PLLC enrolled in Medicare?

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

How many clinicians bill Medicare through Aeg Washington Dc Professional PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to Aeg Washington Dc 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 Washington Dc 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 Washington Dc 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 Washington Dc 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.