Nu-Crown, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2000158832 Issued in MO

Legal business name

NU-CROWN, LLC

Doing business as

Advanced Sight Center

Practice address

1351 Jefferson St Ste 110
Washington, MO 63090-6449

Phone

(636) 239-1650

Fax

(636) 239-9005

NPI assigned

Apr 24, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Charles D. Matthews

Title

President

Phone

(618) 462-9818

Specialties & licenses 1

Addresses

Other names 1

• Advanced Sight Center Doing business as

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1609041383",
    "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": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 JEFFERSON ST STE 110",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630906449",
            "telephone_number": "636-239-1650",
            "fax_number": "636-239-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU-CROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-462-9818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2000158832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Sight Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Sight Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Niemeyer
• Michael A. Ninness
• Jennifer Faye Noelker, PT
• Charles Upshur Nottingham, MD
• Julie Ann Novak-Eversole
• Megan Nicole Oberg, CPM
• Obermark Optometry, Inc
• Edward Omer Obermark, O.D.
• Melissa Ann Ohm, DPT
• Kelly Anne Oreskovic, LCSW

• Optometrist in Washington, MO
• Providers in Washington, MO by specialty
• Optometrist in Missouri

• 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.