| NPI | 1053464578 |
|---|---|
| Doing Business As | CROWN OPTICAL |
| Entity Type | Organization |
| Authorized Contact | MELISSA K ALLISON Director Of Managed Care 618-462-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2018-05-08 |