EYE CARE SURGERY CENTER OF EVANSVILLE, LLC (NPI# 1821170499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821170499 |
| Entity Type | Organization |
| Organization Name | EYE CARE SURGERY CENTER OF EVANSVILLE, LLC |
| Practice Address |
6540 Logan Drive Suite 3 Evansville IN 47715-8238 |
| Practice Telephone | 8124029620 |
| Practice Fax Number | 8124029277 |
| Mailing Telephone | 8124029620 |
| Mailing Fax Number | 8124029277 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | DR. DAVID IRWIN MALITZ (CEO) |
| Authorized Official Telephone | 8124212020 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
08-004274-1 | IN | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | MEDICARE CMS PTAN | M300027111 | 01 |
| AAAHC CERTIFICATION | 89592 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | EYE CARE SURGERY CENTER OF EVANSVILLE, LLC | 6540 Logan Dr, Evansville, IN 47715 |
| Street Address |
6540 LOGAN DRIVE SUITE 3 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47715-8238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528585 | Shannon Allcron | Pharmacist | 6770 E. Virginia St., Evansville, IN 47715 | 2020-11-03 |
| 1609339910 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1201 Cross Pointe Place, Evansville, IN 47715 | 2019-04-12 |
| 1497229223 | Hubert Family Dentistry LLP | Dentist | 6225 E Columbia St., Evansville, IN 47715 | 2019-01-15 |
| 1083110373 | Fyi Healthcare, LLC | Registered Nurse | 12000 Highway 41 North, Evansville, IN 47715 | 2018-04-04 |
| 1962862755 | New Journeys Counseling Services, LLC | Community/Behavioral Health | 4929 River Wind Pointe Drive, Evansville, IN 47715 | 2016-03-07 |
| 1558702456 | Jennifer Hoelter | Pharmacist | 5000 E Virginia St, Walgreens District Office, Evansville, IN 47715 | 2013-07-09 |
| 1952649402 | Courtney Ingold | Music Therapist | 621 E Cullen Ave, Suite 118, Evansville, IN 47715 | 2013-01-17 |
| 1922378041 | Sherry A. Fisher | Counselor | 4929 Riverwind Pointe Dr Ste 102, Evansville, IN 47715 | 2012-01-05 |
| 1710275912 | Tonja Leana Winekauf | Nurse Practitioner | 6211 E Waterford Blvd, Evansville Health Care Center, Evansville, IN 47715 | 2011-07-21 |
| 1003083437 | Allcare Dental & Dentures of In PC | Dentist | 1031 N. Green River Rd., Suite 104, Evansville, IN 47715 | 2008-05-14 |
| Find all providers in zip 47715 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114253093 | Crescent City Surgery Center LLC | Clinic/Center | 220 E Virginia St, Evansville, IN 47711-5530 | 2009-10-27 |
| 1043204944 | Ambulatory Care Center LLC | Clinic/Center | 300 Circle Front Dr, Evansville, IN 47715-7196 | 2005-09-07 |
| 1427042316 | Ambulatory Care Center LLC | Clinic/Center | 1125 Professional Blvd, Evansville, IN 47714-8001 | 2005-09-07 |
| 1124526306 | Indiana Pain Centers-evansville LLC | Clinic/Center | 4411 Washington Ave Ste 100, Evansville, IN 47714-0805 | 2018-01-23 |
| 1538532536 | Pain Centers of Indiana - Evansville, LLC | Clinic/Center | 4411 Washington Ave, Evansville, IN 47714-0805 | 2015-11-12 |
| 1700035250 | Deaconess Welborn Surgical Holding Company, LLC | Clinic/Center | 421 Chestnut St, Evansville, IN 47713-1227 | 2008-09-09 |
| 1376708735 | Ambulatory Surgery Center for Pain Relief LLC | Clinic/Center | 2330 Lynch Rd, Suite 100b, Evansville, IN 47711-2998 | 2008-07-25 |
| 1871751024 | Ambulatory Surgery Center for Pain Relief LLC | Clinic/Center | 2330 Lynch Rd, Suite 100b, Evansville, IN 47711-2998 | 2008-05-23 |
| 1306984174 | Board of Trustees of Welborn Clinic | Clinic/Center | 421 Chestnut St, Evansville, IN 47713-1227 | 2007-02-02 |
| 1912096785 | Evansville Surgery Center Associates, LLC | Clinic/Center | 520 Mary St, Suite 130, Evansville, IN 47710-1677 | 2006-10-12 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47715 |
Please comment or provide details below to improve the information on EYE CARE SURGERY CENTER OF EVANSVILLE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.