# AMEDCO INDIANA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wabash Valley Eye Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992128946
- **Authorized official:** ERICA PERREIRA (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (877) 881-0022

## Contact information

- **Practice address:** 2020 S CLEARVIEW DR, VINCENNES, IN 47591-5576
- **Practice address phone:** (812) 882-9600
- **Mailing address:** 2020 S CLEARVIEW DR, VINCENNES, IN 47591-5576
- **Mailing address phone:** (812) 882-9600

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2014
- **Last updated:** 01/28/2014