NUCROWN, LLC (NPI# 1396135992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396135992 |
| Entity Type | Organization |
| Organization Name | NUCROWN, LLC |
| Other Organization Name | CROWN OPTICAL |
| Practice Address |
12607 Olive Blvd Saint Louis MO 63141-6313 |
| Mailing Address |
211 E Broadway Alton IL 62002-6220 |
| Practice Telephone | 3144280110 |
| Practice Fax Number | 3148787747 |
| Mailing Telephone | 6184629818 |
| Mailing Fax Number | 8004326004 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2017-04-21 |
| Authorized Official Name | CHARLES D. MATTHEWS (PRESIDENT) |
| Authorized Official Telephone | 6184629818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T02999 | MO | Eye and Vision Services Providers |
| 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 |
| 1295737294 | Nucrown, LLC | Optometrist | 211 E Broadway, Alton, IL 62002-6220 | 2005-08-10 |
| 1154717593 | Nucrown, LLC | Optometrist | 1012 Loughborough Commons, Saint Louis, MO 63111 | 2015-04-13 |
| 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 |
12607 OLIVE BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141-6313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619965324 | Advanced Surgery Center LLC | Clinic/Center | 12607 Olive Blvd, Saint Louis, MO 63141-6313 | 2005-10-07 |
| 1780127696 | Missouri Commons Surgery Center LLC | Clinic/Center | 12607 Olive Blvd, Saint Louis, MO 63141-6313 | 2016-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679102842 | Noor Ramadan | Pharmacist | 628 North New Ballad Road, Suite A, Creve Coeur, MO 63141 | 2020-04-08 |
| 1497381206 | Washington University | Durable Medical Equipment & Medical Supplies | 1044 North Mason Road, Suite 110/210, St. Louis, MO 63141 | 2020-03-13 |
| 1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
| 1801429410 | Emili Lou Haley | Registered Nurse | 650 Maryville Drive, St Louis, MO 63141 | 2020-02-21 |
| 1629553110 | Rebecca Kathleen Pike | Social Worker | West County Psychological Associates, 12125 Woodcrest Executive Drive #110, St. Louis, MO 63141 | 2018-10-01 |
| 1649756099 | River City Sedation Associates, LLC | Nurse Anesthetist, Certified Registered | 12855 N 40 Dr Ste 150, Saint Louis, MO 63141 | 2018-07-18 |
| 1205333952 | Ear Care and Hearing of St. Louis | Hearing Aid Equipment | 11630 Studt Ave Ste 210, Creve Coeur, MO 63141 | 2018-04-10 |
| 1659897486 | Erin Goodman | Physical Therapist | 10560 Old Olive St. Rd, Suite 100, Creve Coeur, MO 63141 | 2017-08-14 |
| 1093230450 | Center for Urologic Surgery LLC | Clinic/Center | 12855 N 40 Dr Ste 100, Saint Louis, MO 63141 | 2017-08-07 |
| 1871016105 | Jacob Farley Tanner | Specialist/Technologist | 1054 Town and Four Parkway Dr, Creve Coeur, MO 63141 | 2017-07-19 |
| Find all providers in zip 63141 | ||||
| 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 |
|---|---|---|---|---|
| 1194379115 | Zhenzhen Gao | Optometrist | 4531 Mcpherson Ave Apt 203, Saint Louis, MO 63108-1959 | 2019-07-29 |
| 1114579554 | Naba Razi Khan | Optometrist | 9924 Kennerly Rd, Saint Louis, MO 63128-2704 | 2019-07-16 |
| 1164083143 | Sara Taylor | Optometrist | 522 N New Ballas Rd Ste 113, Saint Louis, MO 63141-6820 | 2019-06-21 |
| 1891358115 | Essential Eyecare, LLC | Optometrist | 7256 Pershing Ave Unit B, Saint Louis, MO 63130-4248 | 2019-04-22 |
| 1720517386 | Morgan Rebecca Poore | Optometrist | 555 N New Ballas Rd Ste 310, Saint Louis, MO 63141-6896 | 2017-06-07 |
| 1699157735 | Katherine Gettinger | Optometrist | 28 Maryland Plz, Saint Louis, MO 63108-1526 | 2015-06-25 |
| 1083096523 | Courtney Anne Stehlin | Optometrist | 122 S County Center Way, Saint Louis, MO 63129-1092 | 2015-06-21 |
| 1861836777 | Clarkson Optometry Inc | Optometrist | 3192 S Grand Blvd, Saint Louis, MO 63118-1025 | 2013-04-22 |
| 1790026540 | Clarkson Optometry Inc | Optometrist | 5632 Telegraph Rd # A, Saint Louis, MO 63129-4243 | 2013-03-04 |
| 1538423769 | Mark Alan Wilkins | Optometrist | 5632 Telegraph Rd, Suite A, Saint Louis, MO 63129-4243 | 2012-07-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63141 |
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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.