Nucrown, Llc is a medicare enrolled "Ophthalmology" provider in Saint Louis, Missouri. Their current practice location is
12601 Olive Blvd, Saint Louis, Missouri. You can reach out to their office (for appointments etc.) via phone at
(314) 878-4228.
Nucrown, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Nucrown, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1558768440.
Healthcare Provider's Profile
Full Name | Nucrown, Llc |
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Type | Facility |
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Speciality | Ophthalmology |
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Location | 12601 Olive Blvd, Saint Louis, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558768440
- Provider Enumeration Date: 11/21/2014
- Last Update Date: 06/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 1456256346
- Enrollment ID: O20150411000086
Medical Identifiers
Medical identifiers for Nucrown, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558768440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | T02999 (Missouri) | Secondary |
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nucrown, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Nucrown, Llc 211 E Broadway, Alton, IL 62002-6220 Ph: (618) 462-9818 | Nucrown, Llc 12601 Olive Blvd, Saint Louis, MO 63141 Ph: (314) 878-4228 |
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