ADVANCED EYE CARE MEDICAL CENTER


Address: 12200 Annapolis Rd, Suite 116, Glenn Dale, MD 20769-9182
Phone: 3018054664

ADVANCED EYE CARE MEDICAL CENTER (NPI# 1124460621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124460621
Entity Type Organization
Organization Name ADVANCED EYE CARE MEDICAL CENTER
Other Organization Name ENVISION EYE & LASER CENTER
Practice Address 12200 Annapolis Rd
Suite 116
Glenn Dale
MD 20769-9182
Practice Telephone 3018054664
Mailing Telephone 3018054664
Enumeration Date 2013-07-24
Last Update Date 2016-03-23
Authorized Official Name RENEE C BOVELLE (OWNER)
Authorized Official Telephone 3018054664
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Envision Eye & Laser Center Former Legal Business Name - Organization

Office Location

Street Address 12200 ANNAPOLIS RD
SUITE 116
City GLENN DALE
State MD
Zip Code 20769-9182

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265472567 Ikechi F Okwara Internal Medicine 12200 Annapolis Rd, Ste 316, Glenn Dale, MD 20769-9182 2006-06-07
1932576378 Sports Pro Physical Therapy LLC. Physical Therapist 12200 Annapolis Rd, #119, Glenn Dale, MD 20769-9182 2015-09-01
1770982423 Dominique Leary Physical Therapist 12200 Annapolis Rd, Glenn Dale, MD 20769-9182 2014-08-19
1659795391 Kelsi Davis Physical Therapist 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 2014-02-18
1023446002 Wholistic Restorations LLC Clinic/Center 12200 Annapolis Rd, Suite 320, Glenn Dale, MD 20769-9182 2013-10-29
1962842401 Phs Family Medicine Glenn Dale General Acute Care Hospital 12200 Annapolis Rd, Suite 118, Glenn Dale, MD 20769-9182 2013-06-28
1114362845 Maryland Specialty Group LLC Obstetrics & Gynecology 12200 Annapolis Rd, Ste 123, Glenn Dale, MD 20769-9182 2013-05-08
1629317201 Nikisha Gandhi Physical Therapist 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 2013-02-02
1891042578 Sherri Crable Physical Therapist 12200 Annapolis Rd, Suite 119, Glenn Dale, MD 20769-9182 2012-08-13
1255696647 Nicole C Lawson Occupational Therapist 12200 Annapolis Rd, Suite 225, Glenn Dale, MD 20769-9182 2012-07-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023585676 Ifeoma C Onyeiwu Nurse Practitioner Krystal Medical Associates, 12150 Annapolis Rd, Suite 100, Glenndale, MD 20769 2018-10-31
1124593983 Olivia Kaindaneh Technician 10809 Glandshire Dr, Glandale, MD 20769 2018-10-09
1154810505 Cassie Leghu Home Health Aide 5108 Janesdale Court, Glenn Dale, MD 20769 2018-05-01
1033659164 Eternal Dermatology and Aesthetic Center LLC Dermatology 12150 Annapolis Rd Ste 213, Glenn Dale, MD 20769 2017-03-08
1881957934 Angela Teresa Dudley Hamilton Counselor 11415 Old Pond Drive, Glenn Dale, MD 20769 2012-06-22
1144597923 Jaj Health Care Services,llc Clinical Nurse Specialist 12150 Annapolis Rd # 205, Glenndale, MD 20769 2011-11-22
1831493030 Evidence Physical Therapy, LLC Physical Therapist 12150 Annapolis Rd Ste 201, Glenn Dale, MD 20769 2011-01-03
1972731867 Linh Nguyen Pharmacist 10831 Lanham Severn Rd, Glenn Dale, MD 20769 2009-06-30
1417141557 Sharon Evette Hawks Nutritionist 12150 Annapolis Rd., Ste. 104, Glenn Dale, MD 20769 2007-08-31
1871715441 Beth S Warner Psychologist 1107 Shoemaker Bldg., U. of Md Counseling Center, Glenn Dale, MD 20769 2007-05-03
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659607406 David Michael Creech Ophthalmology 12150 Annapolis Rd Ste 111, Glenn Dale, MD 20769-9183 2009-10-29
1265827745 Alisa Thavikulwat Ophthalmology 12150 Annapolis Rd Ste 111, Glenn Dale, MD 20769-9183 2015-04-01
1821396961 Metropolitan Pediatric Ophthalmology LLC Ophthalmology 12200 Annapolis Rd, Suite 116, Glenn Dale, MD 20769-9182 2011-03-13
1790990505 Advanced Eye Care Medical Center, Pa Ophthalmology 12200 Annapolis Rd, Suite 116, Glenn Dale, MD 20769-9182 2007-05-14
1588732424 Renee C Bovelle Ophthalmology 12200 Annapolis Rd, Suite 116, Glenn Dale, MD 20769-9182 2006-11-30

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568086304 Envue Eye & Laser Center LLC Ophthalmology 251 Harbor Blvd, Oxon Hill, MD 20745 2020-06-06
1003437641 Goel Vision Columbia Ophthalmology 8850 Columbia 100 Pkwy Ste 101, Columbia, MD 21045-2375 2020-05-06
1568083103 Columbia Parkway Surgery Center LLC Ophthalmology 8850 Columbia 100 Pkwy Ste 102, Columbia, MD 21045-2375 2020-05-06
1508402769 Rachel Bishop Ophthalmology 31 Center Dr Bldg 31, Suite 6a11, Bethesda, MD 20892-0001 2019-11-22
1114562626 Laservue, LLC Ophthalmology 5530 Wisconsin Ave Ste 1209, Chevy Chase, MD 20815-4301 2019-11-08
1144786104 Samir Jabbour Ophthalmology 600 North Wolfe Street, Johns Hopkins Hospital Wilmer E, Baltimore, MD 21287 2019-02-14
1114408689 Precision Eye Care Ophthalmology 1645 Liberty Rd Ste 101, Eldersburg, MD 21784-6537 2018-08-23
1558848747 Advanced Glaucoma Eyecare Ophthalmology 8101 Sandy Spring Rd Ste 105, Laurel, MD 20707-3596 2018-07-20
1245736750 Stuart Lessans Ophthalmology 6112 Rosemont Circle, Rockville, MD 20852 2018-04-03
1801302104 Katzen Medical Associates, PC Ophthalmology 901 Dulaney Valley Rd Ste 200, Towson, MD 21204-0603 2017-12-21
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Competitor

Search similar providers

City GLENN DALE
Zip Code 20769

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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