Organization
NUCROWN, LLC
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
3454 MCKELVEY RD, BRIDGETON, MO 63044-2533
(314) 291-7717
(314) 291-7372
Mailing address
3454 MCKELVEY RD, BRIDGETON, MO 63044-2533
(314) 291-7717
(314) 291-7372
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T02999
MO
Other
Enumeration date
11/21/2014
Last updated
04/21/2017
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