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AEG WASHINGTON PROFESSIONAL, PC

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Company Details

Legal Name: AEG WASHINGTON PROFESSIONAL, PC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 14th 2022
Expiration date: 30 Nov 2025
UBI Number: 604 996 222
Home State: TEXAS
Principal Office Street Address: Google Maps Logo 4835 LBJ FWY, SUITE 850, DALLAS, TX, 75244, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

OPTOMETRY AND RELATED SERVICES

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role Address
GRANT LINDBERG Governing Person -
BENJAMIN CHUDNER, O.D Governing Person -
GRANT E. LINDBERG INCORPORATOR 12310 NE 8TH ST STE 101, BELLEVUE, WA, 98005-3185, UNITED STATES

Unique Entity ID

Unique Entity ID:
HMBGTUB4Q9B6
UEI Expiration Date:
2026-06-24

Business Information

Activation Date:
2025-06-26
Initial Registration Date:
2025-04-23

National Provider Identifier

NPI Number:
1285439513
Certification Date:
2025-02-19

Authorized Person:

Name:
MELISSA ALLISON
Role:
SR. DIRECTOR MVC
Phone:

Taxonomy:

Selected Taxonomy:
152W00000X - Optometrist
Is Primary:
Yes

Contacts:

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