Organization Active NPI

Eye Care Surgery Center of Evansville, LLC

  • Ambulatory Surgical Clinic/Center
  • Evansville, IN
National Provider Identifier
1821170499
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
08-004274-1 Issued in IN
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

Updated by the provider on Sep 3, 2025

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.NPI 1982671194
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
M300027111OtherINMEDICARE CMS PTAN
89592OtherAAAHC CERTIFICATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070628000206 IN Part B Supplier - Ambulatory Surgical Center 1658470877 Receives reassigned benefits from 5 practitioners
Practice locations: Evansville, IN

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Eye Care Surgery Center of Evansville LLCCCN 15C0001171
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D1032832Eye Care Surgery Ctr of Evansville LLC6540 Logan Dr Ste 3, Evansville, IN 47715Certificate of waiverOct 28, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.