# AMBULATORY SURGERY CENTER AT INDIANA EYE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346233905
- **Authorized official:** ANDREA HAUSZ (PRACTICE MANAGER)
- **Authorized official phone:** (317) 881-3937

## Contact information

- **Practice address:** 30 N EMERSON AVE, GREENWOOD, IN 46143-8895
- **Practice address phone:** (317) 881-3937
- **Practice address fax:** (317) 887-4012
- **Mailing address:** 30 N EMERSON AVE, GREENWOOD, IN 46143-8895
- **Mailing address phone:** (317) 881-3937
- **Mailing address fax:** (317) 887-4009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 05-005394-2 | IN | Yes |

## Other

- **Enumeration date:** 08/29/2005
- **Last updated:** 08/17/2018