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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Envision Eye & Laser Center | Former Legal Business Name - Organization |
Street Address |
12200 ANNAPOLIS RD SUITE 116 |
City | GLENN DALE |
State | MD |
Zip Code | 20769-9182 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 20769 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
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. |
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 |
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 |
Find all providers with the same taxonomy |
City | GLENN DALE |
Zip Code | 20769 |
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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.