Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Aeg Texas Professional PLLC

Organization Optometrist · NPI 1629874979

Aeg Texas Professional PLLC is an Optometrist in Southlake, Texas. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2111 Kirkwood Blvd Ste 100
Southlake, TX 76092-1461
Phone: (817) 416-2010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X

Record details

NPI number1629874979
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Allison — Sr. Director Mvc · (314) 741-8183
Other names Kirkwood Eye Center
NPI enumeratedFebruary 19, 2025
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address111 E 4th St Ste 440, Alton, IL 62002-6206

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