ADVANCED EYE LASER AND SURGERY CENTER
NPI 1174329502
Clinic/Center - Ambulatory Surgical in Sparks, MD

Active since February 25, 2025CLIA 21D2328540 · Waiver
954 RIDGEBROOK RD STE 300, SPARKS, MD 21152(410) 618-5640(410) 846-6905 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2026, Mar 10, 2025, Feb 25, 2025 (3 updates tracked since 2025).

About Advanced Eye Laser And Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED EYE LASER AND SURGERY CENTER (NPI 1174329502) is a healthcare organization registered as an ambulatory surgical in Sparks, Maryland and active in the NPI registry since February 2025. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Sudeep Pramanik, President, as its authorized official.

NPPES Registry Identity

NPI1174329502
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameADVANCED EYE LASER AND SURGERY CENTER
Location Address954 RIDGEBROOK RD STE 300Sparks, MD 21152-9440
Mailing Address1600 6th Ave Ste 119bYork, PA 17403-2627 · (717) 650-6148 · Fax (443) 927-7515
Fax(410) 846-6905
Organization SubpartNo
Authorized OfficialSudeep PramanikPresident · (717) 599-2747
Enumeration DateFebruary 25, 2025
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1174329502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
Also ListedClinic/Center · Ophthalmologic SurgeryTaxonomy 261QS0132X
954 RIDGEBROOK RD STE 300, Sparks, MD 21152

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2328540

Advanced Eye Laser And Surgery Center · Sparks Glencoe, MD
Active · expires Aug 11, 2027
CLIA Number21D2328540
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorSudeep Pramanik
Laboratory Phone(410) 618-5640
Laboratory LocationAdvanced Eye Laser And Surgery Center954 Ridgebrook Rd Ste 300, Sparks Glencoe, MD 21152
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Eye Laser And Surgery Center's NPI number?

The NPI number for Advanced Eye Laser And Surgery Center is 1174329502. It was assigned to this organization in the NPPES registry on February 25, 2025.

Where is Advanced Eye Laser And Surgery Center located?

Advanced Eye Laser And Surgery Center is located at 954 Ridgebrook Rd Ste 300, Sparks, MD 21152. The listed phone number is (410) 618-5640.

What is Advanced Eye Laser And Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Advanced Eye Laser And Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2328540) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Eye Laser And Surgery Center was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.