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: July 26, 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.

IKECHI F OKWARA MD

Internal Medicine

12200 ANNAPOLIS RD, STE 316
GLENN DALE, MD 20769

Prince George's County (301) 313-0600

DR. MUKEMIL ABDELLA M.D.

Internal Medicine

12200 ANNAPOLIS RD, SUITE 229
GLENN DALE, MD 20769

Prince George's County (240) 245-4421

MUKEMIL ABDELLA MD LLC

Internal Medicine

12200 ANNAPOLIS RD, SUITE 229
GLENN DALE, MD 20769

Prince George's County (240) 245-4421

DR. LARRY WINFRED BRYANT DDS

Dentist (Oral and Maxillofacial Pathology)

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

ELLA ELIZABETH PANTAZIS D.C.

Chiropractor

12200 ANNAPOLIS RD, 221
GLENN DALE, MD 20769

Prince George's County (301) 464-5813

FAIRWOOD INTERNAL MEDICINE

Internal Medicine

12200 ANNAPOLIS RD, SUITE 232
GLENN DALE, MD 20769

Prince George's County (240) 245-4414

OLAYINKA ABIMBOLA IBITOYE NP

Nurse Practitioner (Adult Health)

12200 ANNAPOLIS RD, SUITE 232
GLENN DALE, MD 20769

Prince George's County (240) 245-4414

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 with the weekly NPPES data releases published by CMS.