Nu-Crown, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NU-CROWN, LLC

Practice address

162 THF Blvd
Chesterfield, MO 63005-1141

Phone

(636) 537-0700

Fax

(636) 536-2066

NPI assigned

Jan 17, 2007

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

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492732800000",
    "number": "1891847315",
    "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": "162 THF BLVD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630051141",
            "telephone_number": "636-537-0700",
            "fax_number": "636-536-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU-CROWN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "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": "14076",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crown Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mace Nosovitch, MD
• Nova Med Tech Inc
• Mark Alan Novack, MD
• Emily O Novik, PHARM.D.
• Goodluck Ikechukwu Nshi
• Mara K Numi
• Whitney Lyn Nunn, SA-C
• Keith Hunter Nunnelee, M.D.
• Nutra, LLC
• Tarisai Sharon Nyahoda, MD

• Optometrist in Chesterfield, MO
• Providers in Chesterfield, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.