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EYE SURGERY CENTER OF NEW ALBANY LLC NPI 1053319053


NPI Information

NPI: 1053319053
Provider Name: EYE SURGERY CENTER OF NEW ALBANY, LLC

Former Legal Business Name: NOVAMED EYE SURGERY CENTER OF NEW ALBANY, LLC

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 15D0936619

Address:
520 W 1ST ST
NEW ALBANY, IN
ZIP 47150
Phone: (812) 949-3442
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EYE SURGERY CENTER OF NEW ALBANY, LLC is an ambulatory surgical clinic center in New Albany, IN. EYE SURGERY CENTER OF NEW ALBANY, LLC NPI is 1053319053. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Novamed Eye Surgery Center Of New Albany, Llc.

The provider's business location address is:

520 W 1ST ST
NEW ALBANY, IN
ZIP 47150-603
Phone: (812) 949-3442
Fax: (812) 949-3441

The provider's authorized official is Kelly Mccrann .
The authorized official title is Ceo and has the following contact phone number (812) 949-3442.

The CLIA number assigned to this NPI record is 15D0936619 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/13/2005 and was last updated on 12/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical05-005401-1INDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200503680AMEDICAIDINDIANA
2P00167103OTHERRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.