NUCROWN, LLC (NPI# 1295737294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295737294 |
| Entity Type | Organization |
| Organization Name | NUCROWN, LLC |
| Other Organization Name | CROWN OPTICAL |
| Practice Address |
211 E Broadway Alton IL 62002-6220 |
| Practice Telephone | 6184629818 |
| Practice Fax Number | 3147414947 |
| Mailing Telephone | 6184629818 |
| Mailing Fax Number | 6187414947 |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | CHARLES DAVIS MATTHEWS (PRESIDENT) |
| Authorized Official Telephone | 6184629818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RAILROAD MEDICARE | DC7072 | 01 |
| IL | RAILROAD MEDICARE | CK2084 | 01 |
| Other Name | Type Code |
|---|---|
| Crown Optical | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144657099 | Nucrown, LLC | Optometrist | 856 Arnold Commons Dr, Arnold, MO 63010-2164 | 2013-10-08 |
| 1043585755 | Nucrown, LLC | Optometrist | 10867 W Florissant Ave, Saint Louis, MO 63136-2405 | 2012-03-13 |
| 1245505098 | Nucrown, LLC | Optometrist | 1817 Maplewood Commons Dr, Maplewood, MO 63143-1000 | 2012-03-13 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| 1396135992 | Nucrown, LLC | Optometrist | 12607 Olive Blvd, Saint Louis, MO 63141-6313 | 2015-02-03 |
| 1730586629 | Nucrown, LLC | Optometrist | 3454 Mckelvey Rd, Bridgeton, MO 63044-2533 | 2014-11-21 |
| 1558768440 | Nucrown, LLC | Optometrist | 12601 Olive Blvd, Saint Louis, MO 63141 | 2014-11-21 |
| 1417207556 | Nucrown, LLC | Optometrist | 11615 Olive Blvd, Saint Louis, MO 63141-7095 | 2012-09-17 |
| Street Address |
211 E BROADWAY |
| City | ALTON |
| State | IL |
| Zip Code | 62002-6220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275981698 | Mark D. Wade O D P C | Optometrist | 211 E Broadway, Alton, IL 62002-6220 | 2016-05-26 |
| 1871871657 | Duyen C Xin | Optometrist | 211 E Broadway, Alton, IL 62002 | 2011-07-28 |
| 1992866057 | Jacqlyn E Long | Optometrist | 211 E Broadway, Alton, IL 62002-6220 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598114001 | Pec Alton, LLC | Optometrist | 2865 Homer Adams Pkwy, Alton, IL 62002-4856 | 2016-06-06 |
| 1326474198 | 3f Vision LLC | Optometrist | 1819 Homer Adams Parkway, Suite B, Alton, IL 62002 | 2013-09-24 |
| 1891848305 | Nu-crown, LLC | Optometrist | 120 Alton Square Mall, Alton, IL 62002 | 2007-01-19 |
| 1790894673 | William Kevin Wright | Optometrist | 2865 Homer M Adams Pkwy, Alton, IL 62002-4856 | 2006-08-30 |
| 1417924648 | Christina J. Levi | Optometrist | 406 E Broadway, Alton, IL 62002-2417 | 2006-03-07 |
| 1275981698 | Mark D. Wade O D P C | Optometrist | 211 E Broadway, Alton, IL 62002-6220 | 2016-05-26 |
| 1619339447 | Lieber Vision Center P.C. | Optometrist | 401 Henry St, Alton, IL 62002-2610 | 2016-03-22 |
| 1871871657 | Duyen C Xin | Optometrist | 211 E Broadway, Alton, IL 62002 | 2011-07-28 |
| 1396867727 | W.k.w. Enterprises, P.C. | Optometrist | 2865 Homer M Adams Pkwy, Alton, IL 62002-4856 | 2007-04-05 |
| 1699809368 | Justin Scheiter | Optometrist | 2415 Homer M Adams Pkwy, Alton, IL 62002-5615 | 2007-03-15 |
| Find all providers in ALTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.