| NPI | 1417207556 |
|---|---|
| Doing Business As | CROWN OPTICAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES D. MATTHEWS President 618-462-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MO TO2999) |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2017-04-21 |