Chih Jen Wang (NPI# 1861443079, PAC ID# 3375433717) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1861443079 |
| PAC ID by PECOS | 3375433717 |
| Professional Enrollment ID | I20040617000538 |
| Full Name | Chih Jen Wang |
| Organization Legal Name | NU-CROWN, LLC |
| Address |
406 E Broadway Alton IL 62002-2417 |
| Phone Number | 6184627611 |
| Gender | M |
| Credential | OD |
| Medical School | INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY |
| Graduation Year | 2003 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 1456256346 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 406 E Broadway, Alton, IL 62002-2417 | 6184627611 | NU-CROWN, LLC |
| Organization Legal Name | NU-CROWN, LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Levi | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Alexa S Kojima | Optometry | Nu-crown, LLC | 8885 Ladue Rd, Saint Louis, MO 63124-2088 |
| Charles M Lutz | Optometry | Nu-crown, LLC | 935 N Hwy 67 N, Florissant, MO 63031-2917 |
| Howard N Short | Ophthalmology | Nu-crown, LLC | 4145 Lindell Blvd, Saint Louis, MO 63108-2913 |
| Eneida Resuli | Optometry | Nu-crown, LLC | 427 Lafayette Ctr, Ballwin, MO 63011-3943 |
| Traci L Hahn | Optometry | Nu-crown, LLC | 10465 Saint Charles Rock Rd, Saint Ann, MO 63074-1829 |
| Matthew J Woodyard | Optometry | Nu-crown, LLC | 4145 Lindell Blvd, Saint Louis, MO 63108-2913 |
| Mark D Wade | Optometry | Nu-crown, LLC | 10465 Saint Charles Rock Rd, Saint Ann, MO 63074-1829 |
| Vinh Q Nguyen | Optometry | Nu-crown, LLC | 4145 Lindell Blvd, Saint Louis, MO 63108-2913 |
| Emily C O'brien | Optometry | Nu-crown, LLC | 4145 Lindell Blvd, Saint Louis, MO 63108-2913 |
| Street Address |
406 E BROADWAY |
| City | ALTON |
| State | IL |
| Zip | 62002-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina J Levi | Optometry | Nu-crown, LLC | 406 E Broadway, Alton, IL 62002-2417 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elaina Ward | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Carol Worthington | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Donna J Boone | Addiction Medicine | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Jennifer Gerlach | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Olivia M Winters | Nurse Practitioner | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Sarah Viliocco | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Rebecca Ashworth-rhein | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Brittany L Mccrady | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Lindsey Ebers | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| April L Reeder | Clinical Social Worker | Centerstone of Illinois Inc | 2615 Edwards St, Alton, IL 62002-3915 |
| Find all physicians in zip 62002 | |||
| City | ALTON |
| Zip Code | 62002 |
| Specialty | OPTOMETRY |
| City + Specialty | ALTON + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.