Organization
EYE SURGERY CENTER OF NEW ALBANY, LLC
Active
Other names
NovaMed Eye Surgery Center of New Albany, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY MCCRANN JR. (CEO)
(812) 949-3442
Entity
Organization
Contact information
Practice address
520 W 1ST ST, NEW ALBANY, IN 47150-3603
(812) 949-3442
(812) 949-3441
Mailing address
520 W 1ST ST, NEW ALBANY, IN 47150-3603
(812) 949-3442
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
05-005401-1
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200503680A
—
IN
01
—
P00167103
RR MEDICARE
—
Enumeration date
07/13/2005
Last updated
12/09/2020
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