Active NPI
Eye Care Surgery Center of Evansville, LLC
- Ambulatory Surgical Clinic/Center
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 08-004274-1
- Legal business name
- EYE CARE SURGERY CENTER OF EVANSVILLE, LLC
- Practice address
- 6540 Logan Drive
Suite 3
Evansville, IN 47715-8238 - Phone
- (812) 402-9620
- Fax
- (812) 402-9277
- NPI assigned
- Oct 20, 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
- Dr. David Irwin Malitz, M.D.
- Title
- Ceo
- 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 |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | |||
| Ambulatory Surgical Clinic/Center | 261QA1903X | 08-004274-1 | IN | Primary |
Addresses
Primary practice location
6540 Logan Drive
Suite 3
Evansville, IN 47715-8238
Mailing address
6540 Logan Drive
Suite 3
Evansville, IN 47715-8238
Phone (812) 402-9620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M300027111 | Other | IN | MEDICARE CMS PTAN |
| 89592 | Other | AAAHC CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Eye Care Surgery Center of Evansville LLC
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 15D1032832 | Eye Care Surgery Ctr of Evansville LLC | Certificate of waiver | Oct 28, 2026 |
National Provider Directory
National Provider DirectoryLocations
6540 Logan Dr
#3
Evansville, IN 47715
Phone (812) 402-9620
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Evansville, IN
- NPI 1275504706
-
- Certified Registered Nurse Anesthetist
- Jasper, IN
- NPI 1982636536
-
- Certified Registered Nurse Anesthetist
- Tell City, IN
- NPI 1174877377
-
- Anesthesiology Physician
- Evansville, IN
- NPI 1033196522
-
- Ophthalmology Physician
- Evansville, IN
- NPI 1982671194
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756857600000",
"number": "1821170499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6540 LOGAN DRIVE",
"address_2": "SUITE 3",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477158238",
"telephone_number": "812-402-9620",
"fax_number": "812-402-9277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6540 LOGAN DRIVE",
"address_2": "SUITE 3",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477158238",
"telephone_number": "812-402-9620",
"fax_number": "812-402-9277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE SURGERY CENTER OF EVANSVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-20",
"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": "CEO",
"authorized_official_telephone_number": "812-421-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "IN",
"license": "08-004274-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE CMS PTAN",
"identifier": "M300027111",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AAAHC CERTIFICATION",
"identifier": "89592",
"state": null
}
],
"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.