Nu-Crown, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NU-CROWN, LLC

Doing business as

Crown Optical

Practice address

1560 W US Highway 50
O Fallon, IL 62269-1619

Phone

(618) 397-6575

Fax

(618) 397-1182

NPI assigned

Jan 18, 2007

Last updated

Apr 21, 2017By 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

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

Locations

Practitioners 2

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.

• Jacqlyn E Long, O.D.

  • Optometrist
  • Alton, IL
  • NPI 1992866057
  NPD (past)
• Aideen McEnaney, OD

  • Optometrist
  • O'Fallon, IL
  • NPI 1770343246
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1730232455",
    "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": "1560 W US HIGHWAY 50",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622691619",
            "telephone_number": "618-397-6575",
            "fax_number": "618-397-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU-CROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "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": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "14067",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Layne Nicole Nooner, RBT
• Norris Rehab Clinic
• Darrin Norris, D.C.
• Chloe North
• Melissa Norwood
• Britni Lee Null
• O Fallon Medical Ventures LLC
• O'Fallon Healthcare Center
• O'Fallon Surgical Center, LLC (Physicians Surgical Center)
• O'Fallon Township High School Dist 203

• Optometrist in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Optometrist in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.