| NPI | 1912065137 |
|---|---|
| Doing Business As | CROWN OTPICAL |
| Entity Type | Organization |
| Authorized Contact | CHARLES D. MATTHEWS President 618-462-9818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2017-04-21 |