Nu-Crown, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NU-CROWN, LLC

Practice address

427 Lafayette Ctr
Ballwin, MO 63011-3943

Phone

(636) 391-1309

Fax

(800) 432-6004

NPI assigned

Dec 4, 2006

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 identifiers 1

Other names 1

• Crown Optical Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

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

• Nucrown, LLC

  • Optometrist
  • Bridgeton, MO
  • NPI 1730586629

  1456256346

  Same PAC ID
• Nu-Crown, LLC

  • Optometrist
  • Alton, IL
  • NPI 1295737294

  1456256346

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Crown Optical3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Nucrown, LLC

  • Optometrist
  • Saint Louis, MO
  • NPI 1396135992
  NPD tax ID
• Nucrown, LLC

  • Optometrist
  • Bridgeton, MO
  • NPI 1730586629
  NPD tax ID

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1710045810",
    "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": "427 LAFAYETTE CTR",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630113943",
            "telephone_number": "636-391-1309",
            "fax_number": "800-432-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU-CROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2017-04-21",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "14066",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Regina Marie Nolan, M.S. CCC-SLP
• Barbara Noronha, M.A., CCC-SLP
• Lindsey Norris, DPT
• Ronald E Norwood, CRNA
• Nour Counseling Solutions LLC
• Nurses to Go, LLC
• Nurses to Go, LLC
• Laura M Oak, PHARMD
• Madelyn Obermark, M.ED.
• OD & B Enterprises LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.