| Ballwin Eye Associates | |
|
118 Ramsey Ln Ballwin MO 63021-4910 | |
| (636) 227-5524 | |
| (636) 227-9134 |
| Full Name | Ballwin Eye Associates |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 118 Ramsey Ln, Ballwin, Missouri |
| Authorized Official Name and Position | Cynthia Jean Lucas (SECRETARY, OWNER, OPTOMETRIST) |
| Authorized Official Contact | 6362275524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballwin Eye Associates 118 Ramsey Ln Ballwin MO 63021-4910 Ph: (636) 227-5524 | Ballwin Eye Associates 118 Ramsey Ln Ballwin MO 63021-4910 Ph: (636) 227-5524 |
| NPI Number | 1669756029 |
|---|---|
| Provider Enumeration Date | 10/04/2011 |
| Last Update Date | 10/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669756029 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | TO-3419 (Missouri) | Primary |
Premier Healthcare Stl Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 703 Hesemann Ridge Ct, Ballwin, MO 63021 Phone: 636-751-0362 | |
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