Organization
EYECARE CONSULTANTS SURGERY CENTER, LLC
Active
Other names
EyeCare Consultants Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY SNODGRASS (PRESIDENT)
(615) 665-1283
Entity
Organization
Contact information
Practice address
101 NW 1ST ST, SUITE 104, OLD POST OFFICE PLACE, EVANSVILLE, IN 47708-1259
(812) 435-2372
(812) 435-2374
Mailing address
1A BURTON HILLS BLVD, ATTN: L&C, NASHVILLE, TN 37215-6103
(615) 665-1283
(615) 234-1720
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
050095641
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200174480
—
IN
05
—
36001162
—
KY
01
—
4900034727
RAILROAD MEDICARE
IN
Enumeration date
01/18/2006
Last updated
04/22/2022
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