<Unavail>

LBN: Nucrown, Llc
<Unavail> is an health care organization with primary practice located at 11615 Olive Blvd , Saint Louis MO 63141-7095. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Nucrown, Llc can be contacted via phone (314) 567-3884, or through Matthews, Charles D. via phone (618) 462-9818.

Contact Information

Primary practice address
11615 Olive Blvd Saint Louis MO 63141-7095
Phone: (314) 567-3884
Fax: (314) 567-3431
Website:
Map and Directions
Authorized official contact:
Name: Matthews, Charles D.
Phone: (618) 462-9818

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X TO2999 Missouri

Profile Details

NPI number 1417207556
LBN Legal business name Nucrown, Llc
DBA Doing business as <Unavail>
Authorized official Matthews, Charles D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2012
Last updated Apr 21st, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417207556 NPPES
Missouri Other 1295737294 NUCROWN, INC. NPI

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