Amedco Indiana LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

AMEDCO INDIANA LLC

Doing business as

Wabash Valley Eye Surgery Center

Practice address

2020 S Clearview Dr
Vincennes, IN 47591-5576

Phone

(812) 882-9600

NPI assigned

Jan 28, 2014

Last updated

Jan 28, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Erica Perreira

Title

Chief Operating Officer

Phone

(877) 881-0022

Specialties & licenses 1

Addresses

Other names 1

• Wabash Valley Eye Surgery Center Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Amedco Indiana LLC

  dba Wabash Valley Eye Center

  • Eyewear Supplier
  • Vincennes, IN
  • NPI 1811310279

  Member Of

  NPD member

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1992128946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S CLEARVIEW DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915576",
            "telephone_number": "812-882-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S CLEARVIEW DR",
            "city": "VINCENNES",
            "state": "IN",
            "postal_code": "475915576",
            "telephone_number": "812-882-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMEDCO INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "PERREIRA",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "877-881-0022"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabash Valley Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amedco Indiana LLC (Wabash Valley Eye Center)
• Amedco Indiana LLC (Wabash Valley Eye Surgery Center)
• Amedco Indiana LLC (Wabash Valley Eye Center)
• Amedco Indiana LLC (Wabash Valley Eye Center)
• Amedco Indiana LLC (Wabash Valley Eye Center)
• John Joseph Anderson, DMD
• Kelly R Anderson, DO
• Linda Anderson, LCSW
• Anesthesia Associates, Inc.
• Another Chance Christ Ministries

• Ambulatory Surgical Clinic/Center in Vincennes, IN
• Providers in Vincennes, IN by specialty
• Ambulatory Surgical Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.