Organization
NUCROWN,INC.
Active
Other names
Crown Optical
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES D. MATTHEWS (PRESIDENT)
(618) 462-9818
Entity
Organization
Contact information
Practice address
1910 FIRST CAPITAL DRIVE, ST. CHARLES, MO 63301
(314) 741-8183
(314) 741-4947
Mailing address
211 E BROADWAY, ALTON, IL 62002-6220
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
MO
Other
Enumeration date
04/30/2014
Last updated
05/01/2014
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