Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nucrown, LLC

Organization Optometrist · NPI 1558768440

Nucrown, LLC is an Optometrist in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12601 Olive Blvd
Saint Louis, MO 63141
Phone: (314) 878-4228
Fax: (314) 878-7747
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X
Optometrist Taxonomy 152W00000X · Licence T02999 (MO)
Optometrist Taxonomy 152W00000X

Record details

NPI number1558768440
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cathy Short — Credentialing Manager · (618) 462-9818
NPI enumeratedNovember 21, 2014
Last updated in NPPESJune 28, 2018
Mailing address211 E Broadway, Alton, IL 62002-6220

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