Organization Active NPI

Nu-Crown, LLC

Doing business as Crown Optical

  • Optometrist
  • Saint Louis, MO
National Provider Identifier
1053464578
Registry record updated May 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NU-CROWN, LLC
Doing business as
Crown Optical
Practice address
8885 Ladue Rd
Saint Louis, MO 63124-2088
Phone
(314) 721-2720
Fax
(314) 725-2685
NPI assigned
Jan 19, 2007
Last updated
May 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melissa K Allison
Title
Director of Managed Care
Phone
(618) 462-9818

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

8885 Ladue Rd
Saint Louis, MO 63124-2088

Mailing address

211 E Broadway
Alton, IL 62002-6220
Phone (618) 462-9818

Other identifiers 1

IdentifierTypeStateIssuer
14061OtherMOSPECTERA

Other names 1

  • Crown Optical Doing business as

National Provider Directory

National Provider Directory

Locations

8885 Ladue Rd
Saint Louis, MO 63124
Phone (314) 721-2720

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1053464578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E BROADWAY",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026220",
            "telephone_number": "618-462-9818",
            "fax_number": "800-432-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8885 LADUE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631242088",
            "telephone_number": "314-721-2720",
            "fax_number": "314-725-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU-CROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR OF MANAGED CARE",
        "authorized_official_telephone_number": "618-462-9818",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "14061",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crown Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.