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

Aeg Utah Professional Inc

Organization Optometrist · NPI 1154212777

Aeg Utah Professional Inc is an Optometrist in Logan, Utah. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1300 N 200 E Ste 104
Logan, UT 84341-2460
Phone: (435) 752-6453
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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 number1154212777
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Melissa Allison — Sr. Director Managed Vision Care · (618) 604-5208
NPI enumeratedJuly 11, 2025
Last updated in NPPESJuly 11, 2025
Certification dateJuly 11, 2025
Mailing address111 E 4th St Ste 440, Alton, IL 62002-6206

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