| NPI | 1669756029 | 
|---|---|
| Doing Business As | BALLWIN EYE ASSOCIATES | 
| Entity Type | Organization | 
| Authorized Contact | CYNTHIA JEAN LUCAS Secretary, Owner, Optometrist 636-227-5524  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MO TO-3419)  | 
| Enumeration Date | 2011-10-04 | 
| Last Update Date | 2011-10-04 |