Organization
NU-CROWN, LLC
Active
Other names
Advanced Sight Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES D. MATTHEWS (PRESIDENT)
(618) 462-9818
Entity
Organization
Contact information
Practice address
1351 JEFFERSON ST STE 110, WASHINGTON, MO 63090-6449
(636) 239-1650
(636) 239-9005
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
2000158832
MO
Other
Enumeration date
04/24/2008
Last updated
05/08/2018
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