Nu-Crown, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NU-CROWN, LLC

Doing business as

Crown Optical

Practice address

111 E 4TH St Ste 440
Alton, IL 62002-6206

Phone

(618) 462-9818

Fax

(314) 741-4947

NPI assigned

Aug 10, 2005

Last updated

Aug 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa Allison

Title

Sr. Director RCM/MVC

Phone

(618) 462-9818

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 2

• Crown Optical Doing business as
• Crown Vision Center Other name

Medicare fee-for-service enrollment

Enrolled in IL, MO2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Nu-Crown, LLC

  dba Crown Optical

  • Optometrist
  • Ballwin, MO
  • NPI 1710045810

  1456256346

  Same PAC ID
• Nucrown, LLC

  dba Crown Optical

  • Optometrist
  • Bridgeton, MO
  • NPI 1730586629

  1456256346

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Nu-Crown, LLC

  dba Crown Optical

  • Optometrist
  • Saint Louis, MO
  • NPI 1639221427

  O20041025000051

  Same enrollment

Locations

Practitioners 76

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Dillon Fullenwider, OD

  • Optometrist
  • Highland, IL
  • NPI 1699386755

  MO

  Medicare reassignment Care Compare group NPD
• Christina J. Levi, O.D.

  • Optometrist
  • Alton, IL
  • NPI 1417924648

  MO

  Medicare reassignment Care Compare group NPD
• Jacqlyn E Long, O.D.

  • Optometrist
  • Alton, IL
  • NPI 1992866057

  MO

  Medicare reassignment Care Compare group NPD
• Chih Jen Wang, O.D.

  • Optometrist
  • O'Fallon, IL
  • NPI 1861443079

  MO

  Medicare reassignment Care Compare group NPD
• Jasmine Sodhi Chadha, OD

  • Optometrist
  • O'Fallon, MO
  • NPI 1598115784
  Medicare reassignment Care Compare group NPD
• Quinn Gallen, OD

  • Optometrist
  • Troy, MO
  • NPI 1619594470
  Medicare reassignment Care Compare group NPD
• Ashley Shea Hemphill, OD

  • Optometrist
  • Chesterfield, MO
  • NPI 1255851812
  Medicare reassignment Care Compare group NPD
• Leslie Kinder, OD

  • Optometrist
  • Maryland Heights, MO
  • NPI 1790345429
  Medicare reassignment Care Compare group NPD
• Alexa S Kojima, O.D.

  • Optometrist
  • Saint Louis, MO
  • NPI 1629381769
  Medicare reassignment Care Compare group NPD
• John J. Konopik, O.D.

  • Optometrist
  • O'Fallon, MO
  • NPI 1760450696
  Medicare reassignment Care Compare group NPD
• Charles M. Lutz, O.D.

  • Optometrist
  • Saint Charles, MO
  • NPI 1750340741
  Medicare reassignment Care Compare group NPD
• Julia Mobilio, OD

  • Optometrist
  • Marysville, MI
  • NPI 1962926634

  MO

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1295737294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026206",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026206",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU-CROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "SR. DIRECTOR RCM/MVC",
        "authorized_official_telephone_number": "618-462-9818"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CK2084",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC7072",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Optical",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crown Vision Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Alton, IL
• Providers in Alton, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.