Organization
EYE CARE SURGERY CENTER OF EVANSVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID IRWIN MALITZ M.D. (CEO)
(812) 421-2020
Entity
Organization
Contact information
Practice address
6540 LOGAN DRIVE, SUITE 3, EVANSVILLE, IN 47715-8238
(812) 402-9620
(812) 402-9277
Mailing address
6540 LOGAN DRIVE, SUITE 3, EVANSVILLE, IN 47715-8238
(812) 402-9620
(812) 402-9277
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
08-004274-1
IN
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89592
AAAHC CERTIFICATION
—
01
—
M300027111
MEDICARE CMS PTAN
IN
Enumeration date
10/20/2006
Last updated
09/03/2025
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