ADVANCED EYE CARE MEDICAL CENTER, PA
NPI 1790990505
Ophthalmology in Glenn Dale, MD

Q: What is Advanced Eye Care Medical Center, PA's NPI number?

The NPI number for Advanced Eye Care Medical Center, PA is 1790990505. It was assigned to this organization in the NPPES registry on May 14, 2007.

Q: What is Advanced Eye Care Medical Center, PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since May 14, 2007

12200 ANNAPOLIS RD, SUITE 116, GLENN DALE, MD 20769(301) 805-4664(301) 805-4663 Get Directions Write a Review

NPPES record last updated: May 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Advanced Eye Care Medical Center, Pa NPPES

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

ADVANCED EYE CARE MEDICAL CENTER, PA (NPI 1790990505) is a healthcare organization registered as an ophthalmology in Glenn Dale, Maryland and active in the NPI registry since May 2007. The organization lists Renee Bovelle, Owner, as its authorized official.

NPPES Registry Identity

NPI1790990505

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameADVANCED EYE CARE MEDICAL CENTER, PA

Location Address12200 ANNAPOLIS RD, SUITE 116Glenn Dale, MD 20769-9182

Mailing Address12200 Annapolis Rd, Suite 116Glenn Dale, MD 20769-9182 · (301) 805-4664 · Fax (301) 805-4663

Phone(301) 805-4664

Fax(301) 805-4663

Organization SubpartNo

Authorized OfficialRenee BovelleOwner · (301) 805-4664

Enumeration DateMay 14, 2007

Last NPPES UpdateMay 23, 2013

✔ NPI 1790990505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in MD · D0056686

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.

12200 ANNAPOLIS RD, Glenn Dale, MD 20769

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYLAND SPECIALTY GROUP LLC

Obstetrics & Gynecology

12200 ANNAPOLIS RD, SUITE# 123
GLENN DALE, MD 20769

Prince George's County (301) 552-9495

MARTHA JOHNSON

Massage Therapist

12200 ANNAPOLIS RD, SUITE 221
GLENN DALE, MD 20769

Prince George's County (301) 352-2991

WHOLISTIC RESTORATIONS LLC

Clinic/Center (Adult Mental Health)

12200 ANNAPOLIS RD, SUITE 320
GLENN DALE, MD 20769

Prince George's County (301) 399-9119

MARYLAND SPECIALTY GROUP LLC

Surgery (Vascular Surgery)

12200 ANNAPOLIS RD, STE 123
GLENN DALE, MD 20769

Prince George's County (301) 552-9495

ADVANCED EYE CARE MEDICAL CENTER

Ophthalmology

12200 ANNAPOLIS RD, SUITE 116
GLENN DALE, MD 20769

Prince George's County (301) 805-4664

LARRY W. BRYANT DDS, PC

Dentist (Oral and Maxillofacial Surgery)

12200 ANNAPOLIS RD, SUITE 236-240
GLENN DALE, MD 20769

Prince George's County (301) 249-0553

DR. VALERIE DAWN CALLENDER M.D.

Dermatology

12200 ANNAPOLIS RD, SUITE 315
GLENN DALE, MD 20769

Prince George's County (301) 249-0970

NICOLE C LAWSON OT

Occupational Therapist

12200 ANNAPOLIS RD, SUITE 225
GLENN DALE, MD 20769

Prince George's County (301) 860-0003

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 Care Medical Center, PA's NPI number?

The NPI number for Advanced Eye Care Medical Center, PA is 1790990505. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Advanced Eye Care Medical Center, PA located?

Advanced Eye Care Medical Center, PA is located at 12200 Annapolis Rd Suite 116, Glenn Dale, MD 20769. The listed phone number is (301) 805-4664.

What is Advanced Eye Care Medical Center, PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Advanced Eye Care Medical Center, PA was last updated on May 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.