Organization · NPI-2

Chesapeake Eye Care & Laser Center LLC

Ophthalmology · Glen Burnie, MD

NPI number1952139958
StatusActive
Last updated in NPPESJul 23, 2024

Details

NPI
1952139958
Entity type
Organization (NPI-2)
Legal business name
Chesapeake Eye Care & Laser Center LLC
Organization subpart
No
Enumeration date
Jul 23, 2024
Certification date
Jul 23, 2024
Last updated
Jul 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207W00000X Ophthalmology––Yes

Practice location

1600 Crain Hwy Ste 601
Glen Burnie, MD 21061-6444

Phone 410-277-3937 · Fax 410-590-1611

Mailing address

2661 Riva Rd Ste 1030
Annapolis, MD 21401-7131

Authorized official

Michael Pascetta
Cfo
4105718733

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