Active NPI
Ohio Valley Eye Institute P C
- Ophthalmology Physician
- Evansville, IN
National Provider Identifier
1407809031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- OHIO VALLEY EYE INSTITUTE P C
- Practice address
- 1001 Walnut St
Evansville, IN 47713-1963 - Phone
- (812) 421-2020
- Fax
- (812) 422-1189
- NPI assigned
- May 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Irwin Malitz, MD
- Title
- Owner
- Phone
- (812) 421-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1001 Walnut St
Evansville, IN 47713-1963
Mailing address
1001 Walnut St
Evansville, IN 47713-1963
Phone (812) 421-2020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110473340A | Medicaid | IN | |
| 65928582 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040602000440 | KY | Part B Supplier - Clinic/Group Practice | 1153303417 |
Receives reassigned benefits from 3 practitioners Practice locations: Henderson, KY |
| O20050707000549 | IN | Part B Supplier - Clinic/Group Practice | 1153303417 |
Receives reassigned benefits from 8 practitioners Practice locations: Evansville, IN |
| O20100930005018 | IN | DME Supplier - Physician - Ophthalmology | 1153303417 | Practice locations: Evansville, IN |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 15D2103425 | Ohio Valley Eye Institute | Certificate of waiver | Oct 12, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Ohio Valley Eye Institute
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Boonville, IN
- NPI 1679796874
-
- Ophthalmology Physician
- Evansville, IN
- NPI 1700117249
-
- Optometrist
- Morganfield, KY
- NPI 1386867505
-
- Optometrist
- Henderson, KY
- NPI 1558584748
Locations
6540 Logan Dr
Evansville, IN 47715
Phone (812) 402-9620
8981 W Sahara Ave
Las Vegas, NV 89117
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Owensboro, KY
- NPI 1730191602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756857600000",
"number": "1407809031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131963",
"telephone_number": "812-421-2020",
"fax_number": "812-422-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WALNUT ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477131963",
"telephone_number": "812-421-2020",
"fax_number": "812-422-1189"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO VALLEY EYE INSTITUTE P C",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-17",
"last_updated": "2025-09-03",
"certification_date": "2025-09-03",
"status": "A",
"authorized_official_last_name": "MALITZ",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "IRWIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-421-2020",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110473340A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "65928582",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.