# NOVAMED EYE SURGERY CENTER OF NEW ALBANY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John Kenyon Eye Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649292004
- **Authorized official:** MR. SCOTT T. MACOMBER (EXECUTIVE VP AND CFO)
- **Authorized official phone:** (312) 780-3234

## Contact information

- **Practice address:** 1305 WALL ST, JEFFERSONVILLE, IN 47130-3853
- **Practice address phone:** (812) 288-9674
- **Practice address fax:** (812) 283-6955
- **Mailing address:** 1700 E HIGGINS RD, SUITE 240, DES PLAINES, IL 60018-5621
- **Mailing address phone:** (847) 296-5700
- **Mailing address fax:** (847) 296-5990

## Taxonomy

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

## Other

- **Enumeration date:** 07/24/2006
- **Last updated:** 08/22/2020
