NPPES file of Aug 9, 2026

Aeg Washington Professional PC in Lacey, WA

This location of Aeg Washington Professional bills under NPI 1558166884, an organization record issued on Feb 19, 2025 with the primary taxonomy Optometrist. It is one of 3 NPIs registered under this name and one of 2 in Lacey; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1558166884
Legal name
Aeg Washington Professional PC
Entity
Type 2 · organization
Primary taxonomy
Optometrist 152W00000X
Practice location
2539 MARVIN RD NE STE B, Lacey, WA 98516
Phone
360-459-3333
Mailing address
Alton, IL
Enumerated
Feb 19, 2025
Record updated
Feb 19, 2025
Authorized official
Sr. Director Mvc (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

The other Lacey NPI

  1. Aeg Washington Professional PC8160 FREEDOM LN NE STE D · issued Feb 19, 20251285439513

5 clinicians CMS lists with Aeg Washington Professional in Lacey

  1. Bryce Bowles, ODStudent in an Organized Health Care Education/Training Program1982497715
  2. Michelle Durham, ODOptometrist1023287067
  3. Alexandra Heisler, ODOptometrist1922411651
  4. Tanya Petruk, ODOptometrist1487515474
  5. Annie Yu, ODOptometrist1821612656

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 3 Aeg Washington Professional NPIs

Every location registered under this name, in 2 cities.

See every location

Checking an organization

  1. Confirm the business with the Washington secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

Common questions

Why is the mailing address in Illinois?

The mailing address in the record (Alton, IL) is where the organization receives mail. Care is given at the practice location in Lacey.

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Which Lacey NPI should I use?

Ask the office which NPI it bills under; all 2 Lacey NPIs are registered under the same name.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.