NUCROWN, LLC (NPI# 1558768440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558768440 |
| Entity Type | Organization |
| Organization Name | NUCROWN, LLC |
| Practice Address |
12601 Olive Blvd Saint Louis MO 63141 |
| Mailing Address |
211 E Broadway Alton IL 62002-6220 |
| Practice Telephone | 3148784228 |
| Practice Fax Number | 3148787747 |
| Mailing Telephone | 6184629818 |
| Mailing Fax Number | 8004326004 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | CATHY L SHORT (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6184629818 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | T02999 | MO | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| 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 |
| 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 |
| 1417207556 | Nucrown, LLC | Optometrist | 11615 Olive Blvd, Saint Louis, MO 63141-7095 | 2012-09-17 |
| Street Address |
12601 OLIVE BLVD |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376512137 | Mark D. Wade | Optometrist | 12601 Olive Blvd, Saint Louis, MO 63141-6313 | 2006-03-15 |
| 1689755209 | Allan E. Kolker, M.d. LLC. | Ophthalmology | 12601 Olive Blvd, Saint Louis, MO 63141-6313 | 2006-10-18 |
| 1093717076 | Allan E Kolker | Ophthalmology | 12601 Olive Blvd, Saint Louis, MO 63141-6313 | 2005-08-10 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790265759 | Washington University | Ophthalmology | 4901 Forest Park Ave # 8221, Saint Louis, MO 63108-1495 | 2018-08-20 |
| 1184038986 | Grace L Paley | Ophthalmology | 621 S New Ballas Rd Ste 5006b, Saint Louis, MO 63141-8270 | 2014-06-19 |
| 1992140958 | Andrew Robert Lee | Ophthalmology | 660 S Euclid Ave # 8096, Saint Louis, MO 63110-1010 | 2013-05-03 |
| 1083941488 | William Steven Joffe | Ophthalmology | 4912 Mcpherson Ave, Saint Louis, MO 63108-1608 | 2009-11-06 |
| 1033349741 | Nancy Buchser | Ophthalmology | 4921 Parkview Pl Ste 14f, Saint Louis, MO 63110-1032 | 2009-07-16 |
| 1730316449 | Augustine Richard Hong | Ophthalmology | 5201 Mid America Plz Ste 2500, Ste 2500, Saint Louis, MO 63129-0002 | 2009-06-20 |
| 1548470032 | Fe Poblete Fuentes | Ophthalmology | 84 Grasso Plz, Saint Louis, MO 63123-3108 | 2007-05-23 |
| 1255543047 | Malaz Safi, M.d., P.C. | Ophthalmology | 8790 Watson Rd Ste 203, Saint Louis, MO 63119-5140 | 2007-05-04 |
| 1063535623 | Therese M Alban | Ophthalmology | 12395 Olive Blvd, Suite 301, Saint Louis, MO 63141-5462 | 2007-04-09 |
| 1902924368 | Eye Specialists of West County, P.C. | Ophthalmology | 777 S New Ballas Rd Ste 218e, Saint Louis, MO 63141-8718 | 2007-03-26 |
| 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.