AEG OHIO PROFESSIONAL PC - NPI 1780283952

Q: What is Aeg Ohio Professional PC's NPI number?

The NPI number for Aeg Ohio Professional PC is 1780283952. It was assigned to this organization in the NPPES registry on October 20, 2020. The provider is doing business as Shawnee Optical.

Q: What is Aeg Ohio Professional PC's specialty?

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

On this page

About Aeg Ohio Professional Pc NPPES

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

AEG OHIO PROFESSIONAL PC (NPI 1780283952), doing business as Shawnee Optical, is a healthcare organization registered as an optometrist in Lima, Ohio and active in the NPI registry since October 2020. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Melissa Allison, Sr. Director Mvc, as its authorized official.

NPPES Registry Identity

NPI1780283952

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameAEG OHIO PROFESSIONAL PC

Location Address2155 ALLENTOWN RDLima, OH 45805-1705

Mailing Address211 E BroadwayAlton, IL 62002-6220 · (618) 462-9818

Phone(419) 228-3800

Organization SubpartNo

Authorized OfficialMelissa AllisonSr. Director Mvc · (314) 741-8183

Enumeration DateOctober 20, 2020

Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 19, 2025

✔ NPI 1780283952 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.

2155 ALLENTOWN RD, Lima, OH 45805

Open in Google Maps ↗

Other Names 1

Doing Business AsShawnee Optical

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 MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2321612

Aeg Ohio Professional · Lima, OH

Active · expires Apr 6, 2027

CLIA Number36D2321612

Laboratory TypePhysician Office

Certificate Effective DateApril 7, 2025

Certificate Expiration DateApril 6, 2027

Laboratory DirectorMichael A. Fishbaugh Jr

Laboratory Phone(419) 227-2020

Laboratory LocationAeg Ohio Professional1301 Cable Road, Lima, OH 45805

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

SPEELMAN EYE CARE, LLC

Optometrist